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Minnesota rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.13 / $372.46 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $349.68 / $687.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.13 / $9,426.86 / $18,388.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.59 / $945.05 / $1,404.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.56 / $1,411.82 / $3,396.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.48 / $1,105.60 / $1,749.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.90 / $1,288.38 / $2,674.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.37 / $954.49 / $1,618.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.49 / $629.46 / $1,239.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.69 / $1,002.05 / $4,954.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.69 / $891.08 / $1,551.17