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Minnesota rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.54 / $2,002.54 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.39 / $2,006.93 / $3,160.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $9,362.90 / $16,852.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,481.57 / $5,591.82 / $7,108.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,827.05 / $6,848.89 / $16,475.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,615.98 / $5,760.17 / $8,554.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,388.22 / $6,261.53 / $12,973.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,273.79 / $5,149.97 / $7,845.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.32 / $3,386.54 / $5,890.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.84 / $3,710.08 / $8,136.43
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
$2,157.03 / $3,451.24 / $7,958.31