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Minnesota rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.73 / $1,675.73 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.10 / $1,688.24 / $2,667.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $8,405.78 / $14,439.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,941.76 / $4,720.59 / $5,955.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,039.10 / $5,730.90 / $13,786.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,029.16 / $4,825.39 / $7,166.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.91 / $5,239.42 / $10,855.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.51 / $4,314.22 / $6,572.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.64 / $2,847.98 / $4,929.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.80 / $3,188.30 / $6,785.33
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
$1,788.33 / $3,033.26 / $6,512.59