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Minnesota rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.63 / $75.63 / $75.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $66.40 / $84.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $130.00 / $130.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.19 / $130.00 / $130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.87 / $257.58 / $323.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.67 / $115.09 / $132.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.87 / $255.04 / $535.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $104.63 / $104.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $81.26 / $90.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $37.54 / $88.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $35.97 / $90.29