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Minnesota rates for HCPCS 0055T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $257.04 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $173.78
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 / $549.54 / $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
$169.82 / $331.13 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $323.59 / $831.76
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
$186.21 / $281.84 / $588.84