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Minnesota rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.96 / $72.38 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $72.38 / $125.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.58 / $2,399.01 / $5,419.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $185.30 / $263.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.37 / $262.77 / $632.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.83 / $203.26 / $316.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.90 / $231.68 / $497.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.49 / $184.89 / $291.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.06 / $117.41 / $215.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.38 / $202.28 / $555.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.64 / $159.22 / $313.30