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Minnesota rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.77 / $385.59 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $385.59 / $595.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.22 / $1,879.84 / $3,220.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.23 / $718.49 / $1,310.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.76 / $1,372.41 / $3,301.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.75 / $902.56 / $1,650.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.72 / $1,254.71 / $2,599.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.04 / $840.72 / $1,551.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.58 / $516.99 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.16 / $790.18 / $1,916.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.16 / $691.51 / $1,547.58