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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
$1,096.48 / $12,882.50 / $28,183.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $20,892.96 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$208.93 / $208.93 / $208.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $8,317.64 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,000.00 / $26,915.35