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Minnesota rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.05 / $893.05 / $893.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,045.81 / $6,373.77 / $12,643.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.82 / $3,363.53 / $8,091.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.12 / $3,075.07 / $6,371.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.70 / $1,955.73 / $5,499.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00