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Minnesota rates for HCPCS 73040

Radex Shoulder Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.13 / $27.13 / $27.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $114.36 / $197.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.70 / $26.22 / $41.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.93 / $90.71 / $157.35
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.46 / $22.46 / $22.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.66 / $382.05 / $463.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.59 / $76.41 / $92.67
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.67 / $305.64 / $370.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.80 / $91.14 / $224.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.20 / $253.30 / $419.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.63 / $50.92 / $85.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.57 / $202.38 / $335.00
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.91 / $82.14 / $176.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.45 / $236.08 / $402.63
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.09 / $47.46 / $80.94
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.36 / $188.62 / $321.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.12 / $121.12 / $121.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $194.52 / $859.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.15 / $50.22 / $211.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $146.10 / $689.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.90 / $215.83 / $411.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.15 / $49.32 / $85.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.27 / $146.00 / $332.36