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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
$1,949.84 / $1,949.84 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,762.47 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,413.10 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,388.44 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38