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Minnesota rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,344.31 / $4,344.31 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.57 / $4,813.18 / $7,967.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,496.27 / $12,001.92 / $36,838.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,360.70 / $14,185.26 / $17,204.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,091.25 / $15,749.82 / $37,888.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,019.43 / $14,345.21 / $19,705.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,744.95 / $14,372.74 / $29,833.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,944.49 / $13,076.22 / $18,016.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,545.12 / $7,090.79 / $13,543.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,602.61 / $11,131.58 / $35,203.28
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
$5,369.17 / $10,165.54 / $19,001.93