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Minnesota rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $15.49 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.84 / $63.10
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $10.72 / $10.72
BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.91 / $26.92 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $151.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $30.90 / $45.71
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $75.86 / $107.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.47 / $40.74 / $112.20
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$23.44 / $100.00 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $79.43 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $23.99 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $54.95 / $93.33
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.48 / $44.67 / $87.10
Health Partners
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$89.13 / $109.65 / $218.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $102.33
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $18.62 / $29.51
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $45.71 / $72.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $275.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $23.99 / $81.28
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $43.65 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $128.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $22.91 / $39.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $43.65 / $91.20