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Minnesota rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.61 / $1,602.43 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.61 / $1,043.78 / $3,649.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,661.52 / $10,188.53 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.94 / $2,216.00 / $3,553.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.71 / $3,439.97 / $8,275.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.44 / $2,881.30 / $4,322.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.94 / $3,144.96 / $6,516.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.36 / $2,485.39 / $3,952.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.05 / $1,695.20 / $10,493.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.39 / $1,897.04 / $6,895.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.39 / $1,847.11 / $3,954.13