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Minnesota rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.26 / $5,371.66 / $9,080.76
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$115.45 / $115.45 / $115.45
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$432.95 / $432.95 / $432.95
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$86.59 / $86.59 / $86.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.31 / $598.63 / $1,195.43
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$4,329.68 / $4,329.68 / $4,329.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$288.63 / $320.81 / $582.57
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$410.80 / $481.22 / $823.14
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$0.32 / $86.59 / $142.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.23 / $4,993.87 / $11,035.56
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,313.75 / $8,062.11 / $14,136.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.86 / $1,152.26 / $1,893.38
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,259.11 / $1,710.81 / $2,754.87
BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$678.29 / $915.41 / $1,469.26
BCBS
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$167.88 / $228.85 / $367.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.10 / $1,907.51 / $4,588.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.01 / $1,491.00 / $2,560.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.18 / $1,743.92 / $3,613.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.99 / $1,272.65 / $2,166.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.12 / $2,071.85 / $4,974.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.19 / $1,131.39 / $2,936.02
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,573.38 / $1,573.38 / $2,474.30
Medica
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$752.21 / $800.92 / $1,110.90
Medica
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$35.15 / $134.62 / $534.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,289.00 / $8,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.22 / $1,091.01 / $2,035.17