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Minnesota rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.17 / $531.17 / $3,556.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.17 / $591.17 / $1,062.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,274.66 / $7,073.73 / $14,449.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.53 / $1,077.39 / $1,742.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.02 / $1,759.40 / $4,232.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.93 / $1,380.20 / $2,175.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.56 / $1,608.52 / $3,332.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.65 / $1,172.18 / $1,995.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.54 / $898.80 / $6,740.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.50 / $928.76 / $2,015.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,312.00 / $8,193.00 / $13,308.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.23 / $903.65 / $1,907.39