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Minnesota rates for HCPCS 58573

Laparoscopy, surgical, with total 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
$1,093.98 / $9,955.70 / $21,189.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.57 / $16,192.78 / $36,581.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.86 / $4,127.97 / $9,930.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,366.32 / $3,773.95 / $7,819.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.83 / $5,673.16 / $19,105.13
Medica
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$12,096.92 / $12,096.92 / $12,096.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00