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Minnesota rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.08 / $1,221.08 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,223.39 / $1,976.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.49 / $11,098.97 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.01 / $3,367.74 / $4,407.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,942.20 / $4,174.55 / $10,042.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,214.63 / $3,527.85 / $5,239.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.72 / $3,816.54 / $7,907.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.06 / $3,154.14 / $4,804.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.01 / $2,118.34 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.60 / $2,520.69 / $5,148.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.08 / $2,467.59 / $4,809.41