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Minnesota rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.79 / $381.43 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.79 / $356.62 / $582.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.02 / $1,274.01 / $2,350.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.26 / $686.02 / $1,245.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.13 / $1,354.49 / $3,258.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.05 / $824.42 / $1,606.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.07 / $1,238.33 / $2,565.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.24 / $792.50 / $1,483.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.29 / $442.86 / $998.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.57 / $766.35 / $1,630.24
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
$393.58 / $622.51 / $1,220.45