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Minnesota rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $588.84 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $457.09 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.62 / $31.62