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Minnesota rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.84 / $1,430.84 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.88 / $1,430.84 / $2,256.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,354.73 / $11,518.20 / $22,567.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.85 / $3,920.23 / $5,115.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.66 / $4,895.99 / $11,777.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.86 / $4,120.81 / $6,120.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,136.96 / $4,476.10 / $9,273.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342.06 / $3,684.29 / $5,612.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.06 / $2,474.52 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.26 / $2,883.02 / $5,805.37
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
$1,589.26 / $2,824.54 / $5,422.75