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Minnesota rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.55 / $669.26 / $6,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.55 / $670.82 / $1,062.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.76 / $5,907.47 / $11,903.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.37 / $1,615.01 / $2,271.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.05 / $2,302.87 / $5,539.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.81 / $1,798.88 / $2,828.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.50 / $2,105.38 / $4,362.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.80 / $1,643.07 / $2,554.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.80 / $1,061.35 / $1,826.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.02 / $1,523.17 / $4,073.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $7,770.00 / $10,729.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.98 / $1,605.76 / $2,593.26