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Minnesota rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.98 / $128.52 / $511.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $124.22 / $380.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $379.42 / $711.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.29 / $229.02 / $429.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.95 / $462.25 / $1,112.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.87 / $278.70 / $553.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.66 / $422.60 / $875.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.50 / $252.68 / $468.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.32 / $199.21 / $525.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.15 / $253.34 / $619.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.76 / $1,438.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $224.38 / $480.21