go back

Minnesota rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.33 / $269.33 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $308.67 / $492.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.39 / $7,215.03 / $14,098.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.72 / $774.99 / $1,087.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.82 / $1,023.63 / $2,462.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.66 / $986.91 / $1,407.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.79 / $935.84 / $1,938.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.51 / $883.90 / $1,171.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.67 / $600.02 / $7,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.50 / $779.72 / $1,203.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.36 / $779.72 / $1,168.77