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Minnesota rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.24 / $363.12 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.24 / $334.69 / $552.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.02 / $1,095.45 / $1,755.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.32 / $653.04 / $1,196.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.17 / $1,293.57 / $3,111.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.46 / $789.15 / $1,537.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.25 / $1,182.64 / $2,450.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.60 / $781.34 / $1,452.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.16 / $438.76 / $1,035.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.34 / $688.95 / $1,600.48
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
$403.34 / $610.83 / $1,224.08