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Minnesota rates for HCPCS 58954

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.49 / $1,939.49 / $1,939.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.70 / $12,235.20 / $20,114.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,164.76 / $7,324.28 / $17,619.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,198.58 / $6,696.14 / $13,873.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,768.39 / $3,623.96 / $5,099.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00