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Minnesota rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.80 / $1,887.80 / $1,887.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.22 / $2,075.01 / $3,451.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.97 / $2,992.74 / $15,891.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.18 / $6,148.63 / $7,457.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.06 / $6,854.86 / $16,490.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,458.13 / $6,238.82 / $8,577.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,806.10 / $6,255.51 / $12,984.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,458.13 / $5,691.91 / $7,842.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.90 / $3,218.01 / $5,884.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.84 / $4,805.46 / $15,268.40
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
$2,240.80 / $4,400.27 / $8,399.29