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Minnesota rates for HCPCS 58956

Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $11,748.98 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,897.79 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$234.42 / $234.42 / $234.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,677.35 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38