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Minnesota rates for HCPCS 28122

Prtl Exc B1 Tarsal/Metar B1 Xcp Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.61 / $603.72 / $7,099.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.61 / $603.72 / $991.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.80 / $5,844.30 / $11,503.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.27 / $1,401.40 / $2,088.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.41 / $2,096.23 / $5,042.77
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.44 / $1,503.82 / $2,523.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.10 / $1,916.46 / $3,970.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.02 / $1,367.11 / $2,301.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.65 / $909.71 / $2,083.84
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.00 / $203.00 / $203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.50 / $1,223.16 / $3,320.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.50 / $1,145.08 / $2,322.69