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Minnesota rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.57 / $200.57 / $200.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.38 / $200.57 / $262.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.90 / $224.90 / $224.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.65 / $325.00 / $325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.41 / $683.71 / $859.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.27 / $305.25 / $352.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.41 / $676.94 / $1,420.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.50 / $277.50 / $277.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $236.31 / $265.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $99.56 / $223.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $119.47 / $361.70