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Minnesota rates for HCPCS C1789

Prothesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $2,038.01 / $8,870.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $4,972.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $414.39 / $1,736.00