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Minnesota rates for HCPCS A2016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $125.89 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $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
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $229.09