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Minnesota rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.67 / $0.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $2.47 / $4.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.39 / $2.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.88 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.18 / $2.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $1.21