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Indiana rates for HCPCS 58958

Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.96 / $1,829.72 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.16 / $1,627.96 / $1,938.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.32 / $1,936.66 / $2,672.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.33 / $1,933.85 / $2,231.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.58 / $1,710.72 / $2,231.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.35 / $1,964.73 / $3,532.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.66 / $2,061.21 / $3,076.42