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Minnesota rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.55 / $971.55 / $2,525.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,724.04 / $12,222.68 / $23,673.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.75 / $3,385.03 / $8,143.14
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,168.86 / $3,094.73 / $6,411.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.82 / $1,668.19 / $5,331.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.53 / $251.53 / $251.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,190.00 / $4,675.00 / $11,165.00