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Minnesota rates for HCPCS 83992

Phencyclidine (PCP)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $21.38 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $69.18 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $29.51 / $38.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $63.10 / $131.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $29.51 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $23.99 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $23.99 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $23.99 / $95.50