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Minnesota rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.90 / $337.90 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $367.98 / $451.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.50 / $9,076.59 / $20,505.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.82 / $976.34 / $1,369.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.01 / $1,272.07 / $3,060.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.63 / $1,226.44 / $1,733.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.21 / $1,162.98 / $2,409.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.21 / $1,088.74 / $1,442.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.92 / $739.11 / $12,002.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.05 / $952.46 / $2,048.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.06 / $906.17 / $1,507.97