go back

Minnesota rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,548.82 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,949.84 / $2,884.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $4,466.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,202.26 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $2,344.23