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Minnesota rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.30 / $718.30 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.08 / $731.00 / $1,135.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,374.10 / $12,197.67 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.94 / $2,043.11 / $2,665.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.80 / $2,478.44 / $5,962.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.26 / $2,088.81 / $3,102.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.00 / $2,265.90 / $4,694.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.17 / $1,867.54 / $2,844.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.82 / $1,302.83 / $4,273.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.96 / $1,415.28 / $2,844.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.08 / $1,398.32 / $2,732.03