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Minnesota rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.13 / $1,112.13 / $1,112.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.13 / $1,245.84 / $2,040.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $8,041.59 / $16,510.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.01 / $3,204.97 / $4,496.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.67 / $4,212.77 / $10,134.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.33 / $4,061.64 / $5,794.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.94 / $3,851.48 / $7,979.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.46 / $3,639.03 / $4,822.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.20 / $2,470.87 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.60 / $3,228.09 / $4,995.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.98 / $3,457.64 / $4,977.30