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Minnesota rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $10.40 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $12.04 / $28.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.40 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $11.40 / $22.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $5.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $2.58 / $33.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $19.70 / $37.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $18.72 / $37.70