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Massachusetts 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
$1,741.81 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.11 / $1,781.65 / $4,096.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.44 / $3,338.05 / $14,703.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.13 / $3,378.55 / $6,145.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,564.55 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.34 / $1,862.54 / $3,002.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.94 / $4,038.03 / $5,126.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $13,767.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.56 / $3,432.18 / $14,703.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.32 / $2,446.50 / $5,522.11