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Minnesota rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.00 / $1,577.48 / $1,577.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.13 / $1,414.37 / $2,041.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.62 / $2,730.62 / $5,691.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.08 / $159.59 / $193.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.20 / $1,023.55 / $2,517.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.24 / $570.40 / $944.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.04 / $922.52 / $1,981.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.14 / $531.62 / $906.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.84 / $381.00 / $1,806.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.52 / $2,028.96 / $4,886.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.82 / $1,859.88 / $5,154.91