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Minnesota rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.10 / $1,086.10 / $1,086.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,086.10 / $1,716.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,153.64 / $10,745.13 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.14 / $3,049.28 / $3,978.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.62 / $3,718.28 / $8,944.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.14 / $3,127.23 / $4,644.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,382.38 / $3,399.40 / $7,043.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.36 / $2,795.96 / $4,259.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.75 / $1,877.62 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.48 / $2,144.90 / $4,432.13
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
$1,192.48 / $2,270.35 / $4,174.82