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New Hampshire 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
$100.00 / $5,974.02 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.81 / $1,781.65 / $5,974.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $13,932.60 / $24,290.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.94 / $2,759.41 / $4,069.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.46 / $3,540.06 / $4,967.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.50 / $3,653.17 / $6,066.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.32 / $2,389.79 / $5,288.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.26 / $1,608.61 / $2,408.32