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Minnesota rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.91 / $1,794.91 / $1,794.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.70 / $11,473.44 / $20,114.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,779.01 / $6,777.22 / $16,303.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,884.99 / $6,196.01 / $12,837.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.44 / $3,399.34 / $4,697.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00