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Minnesota rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $7,585.78 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $19,952.62 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.25 / $141.25 / $141.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,818.38 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,897.79 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,000.00 / $26,915.35