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Minnesota rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.26 / $23.26 / $23.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $86.33 / $122.81
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.00 / $19.00 / $19.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.51 / $236.97 / $287.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.83 / $75.95 / $186.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $157.26 / $260.31
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.92 / $68.45 / $147.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.83 / $146.57 / $249.98
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.96 / $102.96 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $170.83 / $758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $155.08 / $282.77