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Minnesota rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.90 / $77.90 / $77.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.85 / $181.20 / $265.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.75 / $75.41 / $114.84
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.48 / $64.48 / $64.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.19 / $458.75 / $618.22
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.19 / $198.34 / $265.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$171.43 / $267.55 / $643.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.33 / $340.31 / $557.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.65 / $145.66 / $240.80
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$148.56 / $244.16 / $506.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $267.95 / $504.24
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.70 / $114.70 / $215.83
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$343.65 / $343.65 / $343.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $325.38 / $1,115.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.12 / $145.41 / $476.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $319.33 / $587.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.12 / $141.47 / $256.88