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Minnesota rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.56 / $58.56 / $58.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.48 / $275.00 / $397.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.60 / $58.56 / $111.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.33 / $197.64 / $337.38
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.08 / $48.08 / $48.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.91 / $581.29 / $705.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.00 / $164.43 / $199.43
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.63 / $416.88 / $505.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.81 / $199.47 / $479.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.01 / $393.46 / $698.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.03 / $108.28 / $184.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.75 / $290.74 / $516.28
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.75 / $175.87 / $377.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.01 / $379.35 / $615.72
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.26 / $104.68 / $172.12
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.75 / $273.31 / $443.61
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.43 / $477.02 / $2,082.64
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.07 / $111.73 / $381.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.15 / $370.88 / $1,754.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.75 / $446.75 / $788.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.07 / $109.57 / $319.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.68 / $338.16 / $581.55