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Minnesota rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.56 / $20.56 / $20.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $188.90 / $359.93
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.70 / $16.70 / $16.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.74 / $433.29 / $621.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.85 / $69.28 / $166.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $343.53 / $525.08
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.47 / $63.34 / $131.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.50 / $270.50 / $490.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $355.63 / $702.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.05 / $351.54 / $600.77