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Minnesota rates for HCPCS G0219

PET imaging whole body; melanoma for noncovered indications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $199.16 / $199.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $1,000.00 / $1,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.74 / $1,371.65 / $7,485.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.07 / $377.59 / $377.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,445.09 / $3,467.44 / $8,341.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.51 / $1,277.32 / $1,382.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.27 / $3,170.08 / $6,568.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.63 / $1,088.63 / $1,360.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.16 / $1,000.00 / $2,197.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.44 / $76.44 / $76.44