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Minnesota rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.60 / $729.60 / $729.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.13 / $563.38 / $987.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.16 / $2,117.16 / $2,117.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,438.00 / $2,720.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00