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Minnesota rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.75 / $787.75 / $787.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,017.95 / $16,192.78 / $36,581.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.58 / $2,797.37 / $6,729.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.57 / $2,557.46 / $5,298.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.19 / $1,407.81 / $3,378.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00