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Minnesota rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $309.03 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $295.12 / $354.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,479.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $234.42 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $251.19