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Minnesota rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.77 / $767.25 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.50 / $767.25 / $1,185.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.28 / $3,057.02 / $6,480.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.51 / $1,595.71 / $2,672.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.05 / $2,748.39 / $6,611.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.46 / $2,141.66 / $3,334.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.49 / $2,512.69 / $5,206.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.80 / $1,923.94 / $3,134.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.55 / $1,161.83 / $2,068.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $1,625.76 / $4,828.96
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
$903.14 / $1,398.65 / $2,996.80