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Minnesota rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.13 / $766.13 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.96 / $769.79 / $1,207.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.57 / $10,431.95 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.34 / $2,146.62 / $2,801.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.03 / $2,627.76 / $6,321.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.59 / $2,210.39 / $3,282.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.66 / $2,402.40 / $4,977.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.28 / $1,976.24 / $3,010.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.12 / $1,327.38 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.49 / $1,443.28 / $3,120.51
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
$837.49 / $1,443.28 / $3,047.78