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Minnesota rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.18 / $1,005.18 / $6,955.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.18 / $1,120.11 / $1,795.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,022.20 / $10,188.53 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.74 / $2,365.23 / $3,792.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,579.85 / $3,658.55 / $8,801.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.52 / $3,065.34 / $4,599.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.23 / $3,344.80 / $6,930.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.71 / $2,644.14 / $4,204.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.33 / $1,803.65 / $8,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.31 / $1,930.15 / $7,400.45
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
$1,246.31 / $1,759.84 / $4,254.13