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Minnesota rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.08 / $1,120.08 / $11,009.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.26 / $1,120.08 / $1,120.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,540.35 / $26,444.67 / $45,003.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $2,097.00 / $3,954.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.13 / $2,598.42 / $5,232.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.13 / $2,473.55 / $4,889.62