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Minnesota rates for HCPCS 63664

Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.58 / $828.58 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.27 / $21,428.46 / $48,409.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.27 / $2,920.39 / $7,025.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $100.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.16 / $2,669.94 / $5,531.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.03 / $1,595.36 / $9,370.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.90 / $218.90 / $218.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00