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Minnesota rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.02 / $168.50 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $156.51 / $518.72
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$799.01 / $799.01 / $799.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.08 / $844.87 / $1,612.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.12 / $301.50 / $548.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.66 / $600.79 / $1,445.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $367.39 / $714.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.59 / $549.28 / $1,138.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.70 / $339.13 / $660.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.12 / $233.33 / $461.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.02 / $312.58 / $735.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.85 / $264.31 / $583.01