go back

Minnesota rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,205.02 / $5,205.02 / $5,205.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,046.81 / $5,205.02 / $7,290.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,377.97 / $29,934.99 / $51,149.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,584.06 / $14,840.24 / $20,822.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,888.32 / $18,277.24 / $43,968.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,436.96 / $17,621.55 / $25,039.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,477.28 / $16,709.78 / $34,620.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,188.77 / $15,724.73 / $20,838.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,796.48 / $14,069.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,456.73 / $14,568.90 / $24,127.78
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
$7,570.57 / $14,568.90 / $24,127.78