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Minnesota rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,715.19 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $6,456.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $12,589.25