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Minnesota rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.20 / $62.20 / $62.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.87 / $62.20 / $102.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $17.62 / $24.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.21 / $171.74 / $199.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $169.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $165.51