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Minnesota rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $7,079.46 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $10,000.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,949.84 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,025.60 / $10,715.19