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Minnesota rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,152.62 / $2,152.62 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.10 / $2,224.39 / $3,433.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $9,405.95 / $17,919.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,727.01 / $6,015.81 / $7,647.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,194.93 / $7,370.86 / $17,731.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,864.34 / $6,155.81 / $9,142.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,722.67 / $6,738.73 / $13,961.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.65 / $5,541.71 / $8,384.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.64 / $3,637.93 / $6,332.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.11 / $4,152.82 / $8,611.21
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
$2,312.11 / $4,126.60 / $8,414.18