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Minnesota rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Facilitymedian $309 · 10th–90th $76–$2,0420%10%10th90th$309Professionalmedian $30 · 10th–90th $25–$3240%50%10th90th$30$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $75.86 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,023.29 / $2,041.74
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $489.78