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Minnesota rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.40 / $294.89 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $272.36 / $403.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.03 / $2,831.53 / $6,031.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $464.23 / $934.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.97 / $977.05 / $2,350.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $586.25 / $1,179.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.08 / $893.26 / $1,850.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.81 / $508.99 / $1,018.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.44 / $469.80 / $3,307.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.49 / $757.37 / $1,455.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.16 / $736.87 / $1,150.91