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Minnesota rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.86 / $138.86 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.86 / $151.12 / $227.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.74 / $627.26 / $1,417.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.79 / $326.32 / $539.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.70 / $494.50 / $1,189.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $410.62 / $616.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.47 / $452.09 / $936.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.06 / $354.20 / $563.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.75 / $268.45 / $1,321.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.85 / $299.11 / $606.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.34 / $317.05 / $580.51