go back

Minnesota rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $5,888.44 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $11,481.54 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.23 / $120.23 / $120.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,128.61 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,000.00 / $15,135.61