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Minnesota rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.83 / $1,229.83 / $1,229.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.00 / $1,229.83 / $1,948.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.25 / $10,777.08 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.04 / $3,472.63 / $4,531.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.71 / $4,223.52 / $10,160.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.53 / $3,562.73 / $5,291.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,706.10 / $3,861.31 / $8,000.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.88 / $3,185.33 / $4,852.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.35 / $2,139.10 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.46 / $2,427.86 / $4,956.32
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
$1,335.32 / $2,330.25 / $4,739.53