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Minnesota rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.30 / $800.30 / $800.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.31 / $800.30 / $1,039.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,019.82 / $1,343.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.38 / $923.39 / $955.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $2,948.47 / $8,189.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.75 / $1,174.22 / $1,406.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.47 / $2,828.91 / $6,448.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.75 / $1,107.75 / $1,140.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.10 / $955.47 / $3,676.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $406.56 / $959.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $406.56 / $959.46