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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
$1,735.39 / $1,735.39 / $17,639.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.70 / $10,864.23 / $20,114.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,618.97 / $6,550.28 / $15,757.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,754.89 / $5,988.53 / $12,407.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.79 / $3,819.28 / $6,927.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00