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Minnesota rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.17 / $887.93 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.76 / $4,157.49 / $6,663.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.51 / $3,047.00 / $7,329.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.28 / $2,785.69 / $5,771.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.96 / $1,387.15 / $2,459.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00