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Maryland 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
Professional
Modifier
Low / Median / High Price
$834.32 / $925.22 / $2,426.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.56 / $1,135.56 / $1,297.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.77 / $1,285.04 / $2,559.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.49 / $1,385.18 / $2,182.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.15 / $1,086.55 / $1,958.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.40 / $1,197.71 / $1,477.68