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Minnesota rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.29 / $871.29 / $7,460.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.61 / $920.29 / $2,291.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,369.78 / $10,188.53 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.33 / $2,692.74 / $3,265.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.87 / $3,171.22 / $7,628.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.59 / $2,868.19 / $3,972.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.80 / $2,893.95 / $6,006.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.59 / $2,636.13 / $3,632.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.27 / $1,601.36 / $2,835.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.68 / $2,163.92 / $9,862.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.80 / $1,853.44 / $3,743.49