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Vermont 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
$2,114.08 / $2,114.08 / $9,083.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.04 / $2,727.13 / $5,892.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.14 / $2,817.95 / $5,892.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.35 / $2,447.73 / $7,231.95