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Minnesota rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $13,489.63 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,511.89 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,311.31 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,365.16 / $8,511.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,090.30 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,290.87 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,862.09 / $3,801.89