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Minnesota rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $97.72 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,071.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $275.42 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $295.12 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $501.19