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Minnesota rates for HCPCS 78803

Rp Loclzj Tum Spect 1 Area/Acquisj 1 Day Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.95 / $50.95 / $50.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $375.42 / $1,899.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.74 / $50.95 / $296.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.76 / $324.47 / $544.17
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.75 / $41.75 / $41.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.75 / $850.54 / $1,222.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.11 / $120.99 / $173.62
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$474.64 / $784.57 / $1,048.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.97 / $174.39 / $419.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.95 / $663.86 / $1,014.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.84 / $94.10 / $143.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$453.12 / $569.76 / $870.86
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.83 / $159.43 / $330.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.73 / $522.73 / $948.12
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.09 / $74.09 / $134.38
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$448.63 / $448.63 / $813.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $670.47 / $1,441.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.35 / $96.44 / $188.57
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.55 / $572.26 / $1,239.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.32 / $666.41 / $1,223.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.35 / $93.84 / $163.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.55 / $556.79 / $1,122.84