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Minnesota rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.38 / $1,725.38 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.03 / $1,725.38 / $2,729.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $8,710.75 / $14,963.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.31 / $4,729.64 / $6,171.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,155.27 / $5,895.73 / $14,182.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,114.25 / $4,960.92 / $7,367.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,777.52 / $5,390.11 / $11,167.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.54 / $4,435.39 / $6,756.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.34 / $2,915.89 / $5,075.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.06 / $3,308.10 / $6,975.60
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
$1,819.46 / $3,142.70 / $6,515.85