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Minnesota rates for HCPCS A9592

Copper Cu-64, dotatate, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.00 / $1,155.00 / $6,023.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $981.75 / $1,155.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,210.14 / $2,324.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.40 / $981.75 / $981.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.44 / $3,056.68 / $7,353.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.26 / $1,126.00 / $1,218.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.20 / $2,794.54 / $5,789.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.66 / $959.66 / $1,199.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.10 / $1,050.00 / $2,373.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,898.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $1,744.82