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Minnesota rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.41 / $849.21 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.17 / $849.21 / $1,308.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.27 / $4,442.91 / $7,374.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.23 / $1,769.74 / $2,975.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.51 / $3,055.36 / $7,350.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.97 / $2,371.62 / $3,701.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.46 / $2,793.34 / $5,787.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.93 / $2,102.66 / $3,479.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.70 / $1,277.14 / $2,296.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.00 / $1,731.04 / $5,266.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.56 / $1,508.50 / $3,244.45