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Minnesota rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.23 / $1,354.23 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.47 / $1,393.50 / $2,153.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,925.28 / $11,288.09 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.44 / $3,695.96 / $4,836.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,265.46 / $4,633.21 / $11,145.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.98 / $3,899.57 / $5,791.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,968.60 / $4,235.87 / $8,776.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.32 / $3,486.48 / $5,311.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.27 / $2,531.40 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.05 / $2,678.28 / $5,440.55
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
$1,526.81 / $2,887.06 / $5,202.75