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Minnesota rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.96 / $396.58 / $1,179.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $241.93 / $658.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.02 / $1,285.08 / $2,547.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.71 / $469.06 / $870.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.55 / $942.41 / $2,267.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.43 / $573.86 / $1,123.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.26 / $861.59 / $1,785.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.92 / $541.39 / $996.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.42 / $328.34 / $963.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.43 / $508.84 / $1,081.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.34 / $1,438.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.43 / $426.02 / $935.68