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Minnesota rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.40 / $1,978.40 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $1,978.40 / $3,188.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,610.82 / $13,061.16 / $23,682.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,745.17 / $5,983.26 / $7,548.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,776.54 / $6,777.22 / $16,303.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,555.92 / $5,664.50 / $8,412.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,342.31 / $6,196.01 / $12,837.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,219.42 / $5,095.39 / $7,714.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.51 / $3,401.60 / $5,883.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.00 / $3,918.62 / $8,229.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.00 / $4,572.00 / $11,165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.00 / $3,705.75 / $7,806.61