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Idaho rates for HCPCS 58960

Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $1,144.39 / $1,725.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.84 / $1,657.28 / $1,850.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.39 / $1,678.05 / $1,870.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.16 / $1,609.16 / $1,950.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,386.01 / $1,743.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.64 / $1,540.64 / $1,862.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.48 / $1,356.31 / $1,998.23