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Minnesota rates for HCPCS 58952

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.44 / $1,481.44 / $1,481.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.70 / $10,434.57 / $20,114.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,946.85 / $5,597.12 / $13,464.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.50 / $5,117.10 / $10,602.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.71 / $2,801.23 / $3,785.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00