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North Dakota 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
$1,726.80 / $1,726.80 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.38 / $1,726.80 / $1,726.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,199.45 / $3,509.58 / $4,207.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.52 / $3,813.99 / $4,925.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.80 / $2,058.17 / $5,180.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.39 / $3,220.15 / $4,461.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.35 / $3,429.80 / $4,461.60