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Minnesota rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $161.66 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $113.71 / $238.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.72 / $503.85 / $969.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.04 / $259.37 / $555.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.66 / $578.11 / $1,390.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.13 / $328.93 / $686.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.39 / $528.53 / $1,095.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.13 / $278.25 / $596.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.14 / $195.47 / $630.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.04 / $391.21 / $771.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.00 / $431.19 / $605.95