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Minnesota rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,394.67 / $3,394.67 / $3,394.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.34 / $3,185.50 / $3,394.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,471.82 / $4,052.87 / $5,643.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,242.30 / $3,850.23 / $4,052.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $12,504.61 / $34,730.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,698.38 / $4,980.28 / $5,966.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,423.84 / $11,997.56 / $27,346.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,698.38 / $4,698.38 / $4,834.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.02 / $4,052.87 / $18,916.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $2,015.23 / $4,069.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $2,015.23 / $4,069.80