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Minnesota rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.59 / $1,034.59 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.59 / $1,151.19 / $1,395.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.18 / $12,883.86 / $26,854.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.94 / $3,006.23 / $4,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,737.36 / $3,881.91 / $9,338.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.63 / $3,742.65 / $5,294.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.28 / $3,549.00 / $7,353.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.73 / $3,324.59 / $4,405.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.72 / $2,257.82 / $10,533.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.49 / $2,966.69 / $6,379.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.60 / $3,178.08 / $4,661.18