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Minnesota rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $72.44 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,818.38 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $275.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $316.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $263.03 / $524.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $102.33 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $162.18 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,691.53 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $120.23 / $239.88