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Minnesota rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.10 / $965.10 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,671.14 / $10,188.53 / $21,650.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.80 / $3,497.31 / $8,413.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.85 / $3,191.52 / $6,624.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.00 / $1,660.70 / $3,036.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.00 / $4,746.00 / $8,812.00