go back

Minnesota rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.29 / $44.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $47.23 / $74.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.95 / $43.59 / $44.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.73 / $126.32 / $177.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $53.24 / $58.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.05 / $115.76 / $160.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $45.79 / $48.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $61.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $116.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $92.34