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Minnesota rates for HCPCS 63064

Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.89 / $1,634.89 / $1,634.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,395.78 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,023.95 / $5,709.40 / $13,734.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,658.13 / $5,219.76 / $10,814.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.33 / $2,879.78 / $5,913.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00