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Minnesota rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.07 / $200.15 / $200.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $199.82 / $340.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $1,149.52 / $2,500.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.09 / $402.88 / $713.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.62 / $729.80 / $1,755.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.64 / $520.82 / $884.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.35 / $667.21 / $1,382.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.36 / $447.41 / $831.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.80 / $294.60 / $1,822.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.77 / $594.61 / $1,474.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.16 / $558.64 / $861.35