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Minnesota rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.33 / $127.92 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $120.47 / $195.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $55.28 / $603.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $216.22 / $410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.38 / $451.50 / $1,086.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.83 / $273.33 / $535.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.69 / $412.78 / $855.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $243.84 / $451.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.31 / $145.88 / $329.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.24 / $271.19 / $1,392.00
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
$153.24 / $236.23 / $502.50