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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
$1,621.81 / $6,025.60 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,801.89 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $18,620.87 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,309.57 / $6,918.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $17,782.79 / $34,673.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,025.60 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $8,912.51