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Minnesota rates for HCPCS 33617

Rpr Complex Cardiac Anomaly Modified Fontan Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.55 / $2,180.55 / $2,180.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.55 / $2,556.71 / $3,200.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,192.34 / $8,925.87 / $17,512.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.94 / $5,127.18 / $7,767.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.75 / $6,854.86 / $16,490.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,918.37 / $6,377.15 / $9,248.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,929.49 / $6,266.99 / $12,984.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,274.53 / $5,255.62 / $7,823.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,869.80 / $3,500.00 / $5,502.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,668.99 / $4,571.54 / $9,021.27
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
$2,824.14 / $4,433.84 / $8,671.66