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Minnesota rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.34 / $1,066.34 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,153.64 / $10,745.13 / $21,650.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,565.90 / $3,640.64 / $8,758.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.63 / $3,328.42 / $6,896.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.88 / $1,848.15 / $5,331.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00