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Minnesota rates for HCPCS 58291

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.13 / $1,117.13 / $7,548.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.13 / $1,245.24 / $1,507.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,190.47 / $9,426.86 / $18,983.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.38 / $3,246.63 / $4,555.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,955.50 / $4,191.27 / $10,082.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.69 / $4,040.91 / $5,716.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,402.61 / $3,831.83 / $7,939.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.73 / $3,589.86 / $4,757.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,673.83 / $2,437.33 / $11,680.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.49 / $3,217.35 / $6,918.40
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
$1,656.24 / $2,962.22 / $5,049.85