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Minnesota rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.92 / $999.92 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.28 / $1,004.75 / $1,587.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,659.92 / $10,745.13 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.26 / $2,818.95 / $3,678.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.84 / $3,422.06 / $8,232.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.49 / $2,876.10 / $4,271.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,192.58 / $3,128.58 / $6,482.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.63 / $2,572.84 / $3,917.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.05 / $1,726.99 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.27 / $1,979.06 / $4,033.75
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
$1,090.27 / $2,075.73 / $3,967.67