go back

Montana 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
$1,734.38 / $9,083.46 / $9,083.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.01 / $2,619.01 / $2,619.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,619.01 / $2,619.01 / $2,619.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.48 / $2,619.01 / $2,915.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.08 / $2,908.75 / $3,070.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.50 / $2,393.50 / $3,452.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,365.50 / $2,969.47 / $4,594.47