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Minnesota rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.42 / $2,050.42 / $2,050.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.60 / $2,256.10 / $3,750.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.97 / $2,992.74 / $17,318.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,938.02 / $6,681.56 / $8,103.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,768.58 / $7,442.52 / $17,904.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,754.39 / $6,773.30 / $9,312.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,132.39 / $6,791.79 / $14,097.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,754.39 / $6,179.53 / $8,514.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.01 / $3,495.01 / $6,390.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.73 / $5,224.16 / $16,589.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,491.27 / $4,779.21 / $8,917.79