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Minnesota rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $120 · 10th–90th $45–$1700%10%20%10th90th$120Professionalmedian $47 · 10th–90th $46–$580%50%10th90th$47$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $131.83 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $57.54
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $134.90 / $169.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $44.67 / $57.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $51.29