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Maine 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
$1,758.60 / $1,758.60 / $1,781.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.22 / $2,221.86 / $3,167.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.95 / $2,363.86 / $3,583.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.50 / $2,371.69 / $3,638.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.60 / $1,758.60 / $1,781.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.55 / $2,509.56 / $3,409.02