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Minnesota rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.12 / $1,004.12 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.12 / $1,162.65 / $1,356.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.51 / $16,192.78 / $36,581.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.90 / $2,923.79 / $4,102.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $3,770.83 / $9,071.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.44 / $3,635.55 / $5,147.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.60 / $3,447.44 / $7,142.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.87 / $3,232.41 / $4,283.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.94 / $2,194.40 / $12,002.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.77 / $2,897.63 / $6,230.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.54 / $2,897.63 / $4,555.30