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Minnesota rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.88 / $642.88 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,873.72 / $5,572.33 / $10,510.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.33 / $2,202.54 / $5,298.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.27 / $75.27 / $75.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.21 / $2,013.65 / $4,172.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.50 / $1,106.57 / $1,923.14
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.38 / $166.38 / $166.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00