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Minnesota rates for HCPCS A2001

InnovaMatrix AC, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.72 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,174.90 / $1,348.96