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Minnesota rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.33 / $1,260.33 / $1,260.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.16 / $2,110.42 / $9,568.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,798.84 / $3,969.11 / $9,548.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.26 / $3,628.72 / $7,518.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $2,314.13 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00