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Minnesota rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.32 / $2,817.12 / $5,164.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.32 / $2,817.12 / $9,444.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,696.09 / $11,540.50 / $22,684.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.63 / $1,159.06 / $9,697.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,331.91 / $10,397.56 / $25,012.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.99 / $2,548.48 / $12,019.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,960.31 / $9,505.86 / $19,695.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.84 / $1,109.21 / $10,442.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.66 / $4,753.67 / $10,831.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,996.59 / $8,783.26 / $12,753.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,056.57 / $7,869.21 / $12,132.13