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Minnesota rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.95 / $15.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $17.62 / $24.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $27.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $29.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $23.57