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Minnesota rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $52.48 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $169.82 / $316.23
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $43.65 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $724.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $186.21
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $380.19 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $165.96 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $97.72 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $295.12 / $575.44
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.91 / $181.97 / $363.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $123.03
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $234.42 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $436.52 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $97.72 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $302.00 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $93.33 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $295.12 / $524.81