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Minnesota rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.89 / $1,374.89 / $8,323.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.89 / $1,496.04 / $2,924.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,003.46 / $7,882.44 / $15,635.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.05 / $2,709.31 / $4,451.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,174.54 / $4,504.21 / $10,835.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.21 / $3,494.63 / $5,508.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.00 / $4,117.93 / $8,531.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.39 / $2,967.92 / $5,051.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.43 / $2,407.69 / $9,233.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.68 / $2,187.67 / $5,001.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.88 / $2,156.86 / $4,643.35