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Minnesota rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.02 / $896.02 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,213.47 / $8,480.52 / $18,388.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.03 / $3,369.50 / $8,105.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.54 / $3,080.53 / $6,382.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.69 / $1,960.28 / $9,255.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00