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Minnesota rates for HCPCS 22102

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,684.19 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.08 / $2,634.92 / $6,338.67
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.25 / $2,408.94 / $4,991.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.57 / $1,299.32 / $5,913.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.76 / $194.76 / $194.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00