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Minnesota rates for HCPCS 0201T

Perq Sac Agmntj Bi W/Wo Balo/Mchnl Dev 2/> Ndls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.09 / $1,916.09 / $1,916.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.58 / $1,902.46 / $2,012.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,080.32 / $13,287.64 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.55 / $1,558.38 / $1,558.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,940.70 / $7,010.14 / $16,863.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.15 / $2,420.96 / $2,829.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,491.55 / $6,408.95 / $13,278.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.88 / $2,227.88 / $2,227.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.09 / $3,458.90 / $6,652.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.53 / $3,374.23 / $8,238.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.00 / $3,584.00 / $9,787.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.22 / $3,200.07 / $7,945.76