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Minnesota rates for HCPCS 22869

Insj Stablj Dev W/O Dcmprn Lumbar Single Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.17 / $436.17 / $2,525.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.93 / $22,897.69 / $46,771.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.92 / $1,510.96 / $3,634.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.50 / $48.50 / $48.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.10 / $1,381.38 / $2,862.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.17 / $819.90 / $9,370.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.50 / $112.50 / $112.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00