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Minnesota rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $283.83 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.72 / $283.83 / $489.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.59 / $871.58 / $1,955.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.03 / $636.27 / $1,028.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.30 / $1,042.74 / $2,508.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.13 / $844.65 / $1,290.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.74 / $953.32 / $1,975.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.97 / $687.95 / $1,194.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.72 / $456.22 / $1,319.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.96 / $851.42 / $2,107.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.27 / $725.49 / $1,231.64