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Minnesota rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.81 / $6,000.00 / $6,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $5,160.00 / $6,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $427.71 / $857.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.21 / $142.41 / $142.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,353.49 / $17,518.78 / $42,143.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,555.13 / $6,453.48 / $6,985.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,727.15 / $16,016.36 / $33,184.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,500.13 / $5,500.13 / $6,270.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.00 / $6,000.00 / $10,140.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $11,469.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $10,500.00