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Minnesota rates for HCPCS 22319

Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.55 / $1,703.55 / $7,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.70 / $1,817.81 / $2,817.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,923.89 / $14,268.42 / $28,063.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,228.62 / $5,212.68 / $6,801.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,124.97 / $5,852.73 / $14,079.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.22 / $4,921.06 / $7,308.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,749.97 / $5,350.80 / $11,086.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.88 / $4,400.32 / $6,702.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.55 / $2,879.00 / $5,045.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.12 / $3,478.72 / $7,190.05
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
$1,995.13 / $3,478.72 / $6,796.19