go back

Minnesota rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $50.12 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $26.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $45.71 / $97.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $26.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $26.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.33 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $13.49 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $13.49 / $30.20