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Minnesota rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.16 / $820.16 / $9,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.16 / $905.60 / $1,103.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,087.65 / $8,653.59 / $18,388.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.50 / $2,379.64 / $3,338.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,173.04 / $3,081.64 / $7,413.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.16 / $2,971.09 / $4,201.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.53 / $2,817.36 / $5,837.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.74 / $2,638.37 / $3,496.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.69 / $1,791.23 / $5,499.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $2,340.32 / $5,032.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.94 / $2,254.98 / $3,608.48