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Minnesota rates for HCPCS 11004

Dbrdmt Skn Sbq T/M/F Necro Infctj Xtrnl Gent&Per

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.01 / $520.01 / $520.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.05 / $1,773.17 / $6,734.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.82 / $1,848.99 / $4,447.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.92 / $1,690.42 / $3,502.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.15 / $881.32 / $2,097.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $3,236.00 / $5,530.00