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Minnesota rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.61 / $933.61 / $6,955.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.61 / $1,035.53 / $1,663.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.27 / $10,188.53 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.74 / $2,196.25 / $3,521.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.44 / $3,404.14 / $8,189.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.74 / $2,852.60 / $4,279.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.40 / $3,112.20 / $6,448.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.93 / $2,460.64 / $3,913.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.11 / $1,631.49 / $8,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.24 / $1,782.28 / $6,845.19
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
$1,153.24 / $1,701.94 / $3,826.66