go back

Minnesota rates for HCPCS 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $28.18 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $42.66 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $85.11 / $218.78
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $22.91 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $363.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $66.07 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $186.21 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $87.10 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $199.53 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $52.48 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $147.91 / $295.12
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $97.72 / $190.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $380.19
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $40.74 / $64.57
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $114.82 / $309.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $190.55 / $660.69
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $52.48 / $173.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $125.89 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $323.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $47.86 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $123.03 / $239.88