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Minnesota rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.74 / $173.69 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.84 / $164.81 / $267.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.87 / $627.26 / $1,417.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.42 / $355.65 / $608.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.82 / $622.29 / $1,497.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.30 / $467.49 / $743.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.73 / $568.92 / $1,178.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.39 / $418.90 / $699.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.00 / $251.47 / $531.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $334.42 / $1,046.64
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
$198.24 / $303.51 / $645.47