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Minnesota rates for HCPCS 80053

Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)

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Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $212.40 / $862.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $8.56 / $17.28
BCBS
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Facility
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Low / Median / High Price
$10.56 / $39.67 / $141.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.56 / $10.56
Cigna
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Facility
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Low / Median / High Price
$21.10 / $38.22 / $91.95
Cigna
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Professional
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Low / Median / High Price
$12.51 / $15.74 / $20.12
Health Partners
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Facility
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Low / Median / High Price
$20.89 / $34.94 / $72.40
Health Partners
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Professional
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Low / Median / High Price
$12.39 / $12.39 / $19.57
Medica
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Facility
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Low / Median / High Price
$24.60 / $121.48 / $280.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $21.12 / $101.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $8.44 / $22.41