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Minnesota rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,398.83 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $4,897.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $7,244.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,187.76 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,370.32 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,187.76 / $4,265.80