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Minnesota rates for HCPCS 58943

Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.46 / $1,053.46 / $1,053.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.46 / $1,157.88 / $1,414.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,984.89 / $9,426.86 / $18,388.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.95 / $3,144.22 / $4,411.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.75 / $4,090.94 / $9,841.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.39 / $3,944.18 / $5,595.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.10 / $3,740.10 / $7,749.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.44 / $3,514.07 / $4,656.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.05 / $2,276.92 / $5,499.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.69 / $2,993.40 / $6,436.85
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
$1,579.87 / $3,006.38 / $4,615.45