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Minnesota rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $11.34 / $37.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $11.34 / $15.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.79 / $39.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $6.59 / $6.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.89 / $51.73 / $119.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.40 / $42.53 / $50.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $47.41 / $113.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $40.13 / $40.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $29.25 / $34.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $10.61 / $45.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $10.61 / $23.94