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Minnesota rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $28.01 / $334.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $27.15 / $97.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.92 / $181.71 / $422.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $72.54 / $94.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.75 / $89.81 / $196.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $32.60 / $39.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $80.61 / $185.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $29.60 / $31.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $42.82 / $72.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.05 / $62.66 / $161.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $56.18 / $93.81