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Minnesota rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.35 / $527.90 / $4,557.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.35 / $516.13 / $796.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.67 / $2,798.21 / $5,638.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.92 / $1,116.68 / $1,805.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.74 / $1,814.35 / $4,364.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.81 / $1,236.38 / $2,185.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.83 / $1,658.75 / $3,436.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.25 / $1,108.53 / $1,992.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.60 / $682.65 / $1,402.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.40 / $1,046.00 / $2,457.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.40 / $965.55 / $1,964.70