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Minnesota rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.53 / $909.53 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.71 / $918.64 / $1,439.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.52 / $10,745.13 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.91 / $2,556.02 / $3,344.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.54 / $3,122.25 / $7,511.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.84 / $2,632.94 / $3,910.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.49 / $2,854.49 / $5,914.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.43 / $2,354.02 / $3,585.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.57 / $1,581.07 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.27 / $1,811.40 / $3,662.17
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
$996.27 / $1,880.40 / $3,499.99