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Minnesota rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $616.60 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $13,803.84 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $5,370.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,137.96 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $9,332.54