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Minnesota rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $1,412.54 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $245.47 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $331.13 / $602.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,202.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $177.83 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $229.09