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Minnesota rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.72 / $115.72 / $758.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.03 / $115.72 / $275.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.13 / $209.58 / $367.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.30 / $609.16 / $1,465.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.53 / $328.71 / $726.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.23 / $555.90 / $1,153.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.83 / $321.91 / $739.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.91 / $171.00 / $316.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.49 / $661.49 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.12 / $182.98 / $249.42