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Minnesota rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.92 / $399.92 / $399.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.42 / $5,545.59 / $11,327.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.51 / $1,450.04 / $3,488.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.23 / $1,325.69 / $2,746.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.55 / $789.74 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00