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Minnesota rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.88 / $846.88 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.77 / $895.20 / $1,343.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.64 / $12,197.67 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.10 / $2,491.64 / $3,251.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.11 / $2,944.28 / $7,082.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.89 / $2,502.38 / $3,716.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.46 / $2,691.78 / $5,577.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.23 / $2,237.30 / $3,408.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.88 / $1,489.19 / $5,913.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.51 / $1,665.21 / $3,433.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.40 / $1,645.70 / $3,311.61