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Minnesota rates for HCPCS 58290

Vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $16,218.10 / $33,884.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,467.37 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $7,762.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,344.23 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $4,570.88