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Tennessee 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
$1,929.67 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.96 / $1,929.67 / $2,196.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.25 / $2,043.20 / $3,425.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.45 / $2,349.65 / $3,748.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,886.52 / $17,402.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,703.08 / $14,703.08 / $14,703.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.43 / $2,335.26 / $3,751.79