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Minnesota rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.23 / $1,268.83 / $6,976.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.40 / $1,226.05 / $1,662.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,406.64 / $10,745.13 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.97 / $2,924.27 / $4,288.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.90 / $4,320.27 / $10,393.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.65 / $3,217.99 / $5,193.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,768.09 / $3,949.76 / $8,183.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.03 / $2,924.10 / $4,736.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.73 / $1,937.86 / $3,502.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.42 / $2,447.29 / $11,814.00
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
$1,285.42 / $2,200.00 / $4,611.89