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Minnesota rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.80 / $488.80 / $488.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $488.80 / $624.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.36 / $483.08 / $520.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.00 / $520.00 / $520.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.80 / $1,896.76 / $4,562.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.59 / $758.97 / $1,053.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.65 / $1,734.10 / $3,592.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.61 / $597.61 / $944.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $910.00 / $1,430.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $416.00 / $1,371.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $353.60 / $1,107.42