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Minnesota rates for HCPCS 15822

Blepharoplasty Upper Eyelid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.67 / $457.65 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.07 / $3,348.45 / $6,741.99
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,158.22 / $6,308.93 / $11,062.16
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$956.54 / $1,392.78 / $2,258.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.80 / $1,644.74 / $3,956.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.83 / $1,503.68 / $3,115.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.59 / $703.94 / $1,215.08
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,031.93 / $5,031.93 / $6,011.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00