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Minnesota rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,162.28 / $4,677.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,548.13 / $6,918.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,089.30 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,265.80 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $4,168.69