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Minnesota rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,090.30 / $4,570.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $7,079.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,041.74 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,754.40 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,995.26 / $3,630.78