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Minnesota rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.69 / $773.64 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.69 / $773.64 / $1,210.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.99 / $3,057.02 / $6,480.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.69 / $1,690.37 / $2,767.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.21 / $2,792.59 / $6,717.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.30 / $2,185.23 / $3,475.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.83 / $2,553.10 / $5,289.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.58 / $1,957.14 / $3,188.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.61 / $1,235.43 / $2,367.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.00 / $1,575.10 / $5,163.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.00 / $3,500.00 / $6,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.17 / $1,376.56 / $2,751.81