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Minnesota rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,019.95 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,495.41 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,365.16 / $6,456.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $10,232.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $5,370.32