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Minnesota rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.16 / $127.16 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $103.95 / $5,347.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.58 / $433.58 / $1,043.04
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$14.95 / $14.95 / $14.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.80 / $396.40 / $821.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.52 / $216.56 / $374.05
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.54 / $32.54 / $32.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00