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Minnesota rates for HCPCS 25105

Arthrotomy Wrist Joint With Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.42 / $495.42 / $6,575.00
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
$1,206.33 / $1,711.63 / $4,117.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.67 / $1,564.84 / $3,242.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.89 / $858.40 / $3,991.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00