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Minnesota rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $12,302.69 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,918.31 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$331.13 / $331.13 / $331.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $6,606.93 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,025.60 / $10,000.00