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Minnesota rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.40 / $542.40 / $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
$1,321.67 / $1,875.26 / $4,511.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.52 / $1,714.44 / $3,552.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.36 / $1,029.50 / $4,746.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00