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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
$1,122.83 / $1,122.83 / $7,626.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.52 / $5,762.11 / $12,749.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.64 / $3,985.83 / $9,588.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.84 / $3,644.00 / $7,549.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.98 / $1,939.55 / $6,652.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00