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Minnesota rates for HCPCS 78215

Liver & Spleen Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.38 / $23.38 / $23.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $194.55 / $370.98
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.00 / $19.00 / $19.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.42 / $445.68 / $640.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.59 / $78.83 / $189.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.38 / $352.56 / $538.87
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.77 / $72.06 / $149.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.60 / $277.60 / $503.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.10 / $364.79 / $719.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.74 / $349.13 / $615.07