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Minnesota rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.30 / $1,146.30 / $1,146.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.11 / $1,168.09 / $1,827.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,514.29 / $22,897.69 / $46,771.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.16 / $3,271.97 / $4,128.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,778.88 / $3,942.83 / $9,485.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.13 / $3,321.56 / $4,933.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.26 / $3,604.69 / $7,468.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.81 / $2,969.70 / $4,523.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.24 / $2,029.59 / $3,372.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.05 / $2,196.98 / $4,614.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.14 / $2,026.50 / $4,571.00