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Minnesota rates for HCPCS 25240

Excision distal ulna partial or complete (eg, Darrach type or matched resection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.28 / $437.28 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.29 / $5,687.22 / $11,503.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.28 / $1,515.74 / $3,646.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$49.32 / $49.32 / $49.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.17 / $1,385.75 / $2,871.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.87 / $756.00 / $5,189.99
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$113.09 / $113.09 / $113.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00