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Utah 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
$2,150.98 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.08 / $2,150.98 / $2,889.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.75 / $2,394.34 / $3,616.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.07 / $1,129.77 / $1,578.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.48 / $3,091.57 / $3,707.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.89 / $2,020.81 / $3,623.76