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Minnesota rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.72 / $86.72 / $86.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.51 / $475.00 / $1,460.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.42 / $128.85 / $198.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.85 / $335.00 / $575.71
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.12 / $71.12 / $71.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.91 / $996.24 / $1,208.29
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.75 / $242.77 / $294.45
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$519.87 / $753.46 / $913.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$189.03 / $295.02 / $709.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.34 / $660.64 / $1,188.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.99 / $159.84 / $273.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.19 / $504.72 / $941.69
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.81 / $260.12 / $558.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.19 / $671.89 / $1,050.10
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.86 / $157.33 / $254.08
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$394.33 / $509.32 / $804.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$793.04 / $793.04 / $793.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.53 / $754.10 / $3,032.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.67 / $169.09 / $854.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.25 / $585.01 / $2,562.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.13 / $705.13 / $1,189.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.18 / $159.44 / $279.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.45 / $550.89 / $957.42