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Minnesota rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.54 / $1,207.54 / $8,764.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,789.72 / $9,998.40 / $19,511.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.13 / $4,565.13 / $10,982.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.92 / $4,173.62 / $8,647.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.18 / $2,296.23 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00