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Minnesota rates for HCPCS 21142

Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.29 / $1,389.29 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.68 / $1,389.29 / $2,190.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,090.46 / $11,518.20 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,373.98 / $3,792.65 / $4,963.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,349.64 / $4,752.66 / $11,433.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.54 / $3,999.23 / $5,939.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.13 / $4,345.07 / $9,002.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.96 / $3,575.58 / $5,446.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.88 / $2,401.42 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.94 / $2,781.04 / $5,588.78
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
$1,469.42 / $2,701.34 / $5,220.43