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Minnesota rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.32 / $982.50 / $3,555.52
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,273.32 / $2,273.32 / $3,369.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $177.66 / $952.85
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.73 / $172.72 / $994.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $48.37 / $3,730.80
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.02 / $1.50 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.95 / $352.00 / $819.29
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$166.34 / $499.40 / $1,228.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.01 / $868.35 / $2,088.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.18 / $354.77 / $975.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.78 / $793.88 / $1,644.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $354.77 / $822.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.22 / $283.04 / $1,011.35
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$489.00 / $1,718.28 / $2,113.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.99 / $349.52 / $894.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.09 / $329.90 / $663.23