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Minnesota rates for HCPCS 41150

Glssc Composit W/Rescj Floor & Mandibular Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.61 / $2,084.61 / $2,084.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,166.47 / $10,182.26 / $19,127.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,841.29 / $7,556.00 / $18,176.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,195.39 / $6,895.34 / $14,312.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.61 / $3,500.00 / $6,338.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00