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Minnesota rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.13 / $125.13 / $229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.61 / $122.56 / $178.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.25 / $1,517.49 / $2,960.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.18 / $312.41 / $378.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.72 / $388.19 / $933.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $206.25 / $350.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.54 / $342.26 / $735.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $192.22 / $327.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.05 / $222.57 / $315.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $200.62 / $1,186.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $191.93 / $351.01