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Minnesota rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.11 / $582.86 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.10 / $582.86 / $892.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.71 / $1,280.41 / $2,231.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.55 / $1,166.27 / $2,010.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.06 / $2,059.21 / $4,953.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.71 / $1,537.34 / $2,481.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.42 / $1,882.61 / $3,900.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.18 / $1,377.57 / $2,332.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.27 / $826.56 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.74 / $1,120.18 / $3,381.52
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
$665.74 / $1,010.72 / $2,182.41