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Minnesota rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $90.54 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $90.54 / $143.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $72.28 / $774.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.19 / $202.38 / $326.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.25 / $323.69 / $778.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.58 / $269.01 / $409.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.55 / $295.93 / $613.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $231.23 / $371.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.62 / $148.75 / $243.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $188.94 / $650.40
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
$110.45 / $158.30 / $372.07