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Minnesota rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $37.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.65 / $147.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.01 / $347.56 / $540.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.74 / $100.00 / $407.77