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Minnesota rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.33 / $854.04 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.33 / $854.04 / $1,324.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.71 / $3,057.02 / $6,480.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.86 / $1,811.18 / $3,034.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,178.09 / $3,088.81 / $7,430.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.33 / $2,328.29 / $3,625.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.63 / $2,823.91 / $5,850.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.30 / $2,059.34 / $3,364.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.30 / $1,263.61 / $2,241.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.24 / $1,809.56 / $5,486.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.00 / $3,500.00 / $6,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.24 / $1,529.76 / $3,351.07