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Minnesota rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.23 / $94.23 / $94.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $90.34 / $112.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.91 / $159.91 / $793.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.93 / $251.48 / $305.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.19 / $257.17 / $729.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $235.65 / $368.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.33 / $240.82 / $574.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.94 / $226.59 / $332.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.29 / $142.15 / $264.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $177.30 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.60 / $162.37 / $314.75