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Minnesota rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.19 / $1,315.19 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.07 / $1,339.42 / $2,312.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,301.39 / $12,222.68 / $24,627.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.69 / $3,832.64 / $5,015.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,246.94 / $4,606.93 / $11,082.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.46 / $3,879.64 / $5,761.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.76 / $4,211.84 / $8,726.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.00 / $3,468.66 / $5,283.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.32 / $2,297.69 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.46 / $2,657.28 / $5,544.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.46 / $2,789.77 / $5,242.75