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Minnesota rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.54 / $840.54 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.04 / $846.21 / $1,329.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,876.05 / $10,745.13 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.54 / $2,358.90 / $3,086.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,032.18 / $2,883.37 / $6,936.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.34 / $2,426.65 / $3,603.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.43 / $2,636.09 / $5,461.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.18 / $2,169.59 / $3,305.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.19 / $1,457.34 / $6,186.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.92 / $1,650.76 / $3,365.52
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
$907.92 / $1,650.76 / $3,300.76