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Minnesota rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.61 / $953.61 / $953.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.16 / $953.61 / $1,331.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.68 / $1,372.45 / $1,911.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.96 / $1,303.83 / $1,372.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $4,234.41 / $11,760.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.13 / $1,686.59 / $2,020.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,513.92 / $4,062.71 / $9,260.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.13 / $1,591.13 / $1,637.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.29 / $1,371.24 / $7,148.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.47 / $720.19 / $1,509.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.47 / $729.02 / $1,601.63