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Minnesota rates for HCPCS 76817

Us Preg Uterus Real Time W/Image Dcmtn Transvag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.59 / $36.59 / $54.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $141.91 / $505.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.13 / $53.72 / $160.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.18 / $60.93 / $209.70
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.41 / $30.41 / $30.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $240.39 / $326.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.73 / $94.51 / $124.35
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.09 / $161.41 / $201.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.36 / $125.42 / $301.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.87 / $178.53 / $295.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.81 / $67.68 / $111.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.01 / $110.86 / $183.26
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.64 / $110.58 / $237.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.58 / $140.58 / $272.87
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.29 / $53.29 / $100.28
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.29 / $87.29 / $169.44
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.00 / $163.00 / $163.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.81 / $241.47 / $480.02
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.72 / $88.46 / $216.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.88 / $116.39 / $372.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $173.83 / $311.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.83 / $77.15 / $227.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.52 / $105.59 / $218.66