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Minnesota rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.12 / $306.12 / $934.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $254.08 / $306.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $34.96 / $107.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $30.40 / $30.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.33 / $133.78 / $321.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.90 / $324.20 / $407.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.28 / $122.30 / $253.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $321.00 / $401.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $306.12 / $703.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $503.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $459.18