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Minnesota rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.00 / $158.00 / $158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $58.46 / $94.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.42 / $189.18 / $453.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $79.00 / $79.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.99 / $290.19 / $692.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.33 / $99.41 / $104.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.01 / $263.17 / $545.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $90.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $146.15 / $239.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $63.20 / $208.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $65.27 / $208.31