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Minnesota rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.86 / $933.86 / $8,331.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,709.60 / $16,192.78 / $36,581.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.98 / $3,430.42 / $8,252.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,966.46 / $3,136.22 / $6,497.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.61 / $2,055.64 / $12,051.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00