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Minnesota rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.10 / $1,025.08 / $2,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.35 / $962.17 / $1,525.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.98 / $3,734.82 / $6,167.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.98 / $2,340.06 / $3,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.62 / $3,461.47 / $8,327.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.81 / $2,634.11 / $4,101.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.84 / $3,164.62 / $6,556.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.66 / $2,380.27 / $3,740.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.39 / $1,430.42 / $2,609.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.82 / $1,784.16 / $5,805.76
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
$923.08 / $1,572.68 / $3,409.92