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Minnesota rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,548.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $354.81 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $8,912.51