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Minnesota rates for HCPCS 53080

Drg Perineal Urinary Xtrvasation Uncomp Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.48 / $402.48 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.48 / $422.36 / $615.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.01 / $2,255.28 / $8,524.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.70 / $1,098.70 / $1,541.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.72 / $1,456.02 / $3,502.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.79 / $1,403.78 / $2,002.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.65 / $1,331.15 / $2,757.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.96 / $1,257.73 / $1,666.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.99 / $854.28 / $4,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.96 / $1,096.43 / $2,201.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.96 / $1,043.14 / $1,690.56