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Minnesota rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.67 / $1,363.67 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.39 / $1,363.67 / $2,139.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,108.47 / $11,518.20 / $21,692.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,304.19 / $3,716.01 / $4,848.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,284.82 / $4,660.68 / $11,211.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.48 / $3,911.53 / $5,809.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,986.20 / $4,260.97 / $8,828.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.12 / $3,504.09 / $5,327.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.57 / $2,348.78 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.42 / $2,751.68 / $5,574.75
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
$1,513.42 / $2,668.21 / $5,207.33