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Minnesota rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.53 / $183.89 / $183.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $183.89 / $314.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.90 / $1,462.23 / $3,221.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.47 / $384.21 / $668.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.93 / $682.02 / $1,640.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.97 / $505.16 / $855.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.96 / $623.53 / $1,291.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $429.95 / $799.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.62 / $280.02 / $2,428.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.04 / $556.22 / $1,381.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.49 / $507.05 / $807.06