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Minnesota rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.80 / $2,405.00 / $4,579.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.80 / $121.17 / $253.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.62 / $3,460.23 / $6,657.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.71 / $252.54 / $375.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.15 / $332.05 / $798.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.34 / $320.14 / $456.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.35 / $303.58 / $628.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.58 / $286.77 / $380.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.94 / $289.22 / $3,632.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $298.52 / $720.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $274.85 / $462.51