go back

Minnesota rates for HCPCS G0204

Dx mammo incl cad bi

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.39 / $570.94 / $1,373.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $210.32 / $227.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.01 / $503.38 / $1,081.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $179.25 / $191.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.51 / $742.51 / $742.51