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Minnesota rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,539.46 / $19,539.46 / $19,539.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,631.57 / $16,217.75 / $19,539.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,224.49 / $5,458.64 / $17,259.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.95 / $1,073.69 / $1,073.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,775.96 / $11,590.06 / $13,489.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.14 / $5,335.43 / $5,691.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,707.24 / $10,536.42 / $15,325.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,201.13 / $4,201.13 / $5,251.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.91 / $19,539.46 / $29,719.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $32,121.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,282.88 / $16,282.88 / $32,121.89