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Minnesota rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.07 / $737.07 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.10 / $737.07 / $1,166.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.79 / $22,439.74 / $46,771.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.08 / $2,092.98 / $2,738.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.10 / $2,544.15 / $6,120.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.67 / $2,143.62 / $3,183.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.09 / $2,325.96 / $4,819.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.33 / $1,916.54 / $2,919.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.09 / $1,369.01 / $4,273.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.51 / $1,454.46 / $2,922.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $10,493.00 / $42,567.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.51 / $1,508.85 / $2,922.88