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Minnesota rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.22 / $590.22 / $7,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.22 / $672.77 / $1,079.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.10 / $9,837.79 / $20,505.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.40 / $1,700.99 / $2,386.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.09 / $2,240.76 / $5,390.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.50 / $2,160.37 / $3,084.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.50 / $2,048.59 / $4,244.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.76 / $1,936.78 / $2,566.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.87 / $1,314.49 / $12,002.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.53 / $1,708.61 / $2,638.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,913.00 / $12,722.00 / $19,301.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.70 / $1,708.61 / $2,562.15