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Minnesota rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $153.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $153.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $130.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $124.16 / $130.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.56 / $60.56 / $60.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $130.69 / $130.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.97 / $153.75 / $153.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $270.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $232.27