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Minnesota rates for HCPCS 58950

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,748.98 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $9,772.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,981.07 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,370.32 / $10,000.00