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Minnesota rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.91 / $735.91 / $735.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.63 / $741.45 / $1,155.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,033.21 / $5,572.33 / $10,771.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.69 / $2,065.09 / $2,678.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.68 / $2,532.19 / $6,091.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.78 / $2,124.69 / $3,155.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.44 / $2,315.04 / $4,796.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.56 / $1,903.81 / $2,893.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.64 / $1,243.69 / $2,206.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.37 / $1,374.70 / $2,835.71
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
$765.37 / $1,374.70 / $2,835.71