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Minnesota rates for HCPCS 0628T

Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $72.20 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.39 / $72.20 / $86.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.52 / $941.96 / $991.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.96 / $84.96 / $84.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $141.88 / $353.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $124.25 / $1,749.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $150.19 / $316.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $145.97 / $307.06