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Minnesota rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.72 / $333.28 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.72 / $277.82 / $541.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.19 / $525.87 / $999.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.62 / $473.50 / $1,137.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $1,196.82 / $2,879.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.02 / $481.05 / $1,388.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.42 / $1,055.21 / $2,267.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.24 / $489.27 / $1,209.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.34 / $307.60 / $941.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.69 / $843.31 / $2,453.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.56 / $672.00 / $1,342.89