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Minnesota rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.49 / $1,600.49 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.63 / $1,600.49 / $2,530.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $8,328.45 / $14,164.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.61 / $4,378.43 / $5,524.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,859.79 / $5,476.48 / $13,174.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,895.29 / $4,612.12 / $6,849.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,508.90 / $5,006.82 / $10,373.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.30 / $4,123.55 / $6,281.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.73 / $2,704.83 / $4,708.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.33 / $3,059.02 / $6,485.98
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
$1,707.33 / $3,211.36 / $6,058.50