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Minnesota rates for HCPCS 25101

Arthrt Wrst W/Jt Expl W/Wo Bx W/Wo Rmvl Loose/Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.26 / $412.26 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,206.67 / $7,465.39 / $14,249.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.04 / $1,434.52 / $3,450.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.13 / $1,311.49 / $2,717.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.38 / $727.98 / $3,991.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00