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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,379.48 / $1,406.92 / $9,083.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.30 / $2,041.64 / $2,333.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.30 / $2,234.16 / $4,263.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.86 / $2,213.46 / $3,690.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.70 / $1,955.59 / $3,529.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.71 / $1,973.24 / $2,435.60