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Minnesota rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.02 / $41.02 / $41.02
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.26 / $34.26 / $34.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.39 / $137.88 / $339.06
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.48 / $124.27 / $266.98
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$193.75 / $193.75 / $193.75