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Minnesota rates for HCPCS Q4111

GammaGraft, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $11 · 10th–90th $7–$250%20%10th90th$11Professionalmedian $102 · 10th–90th $7–$1260%20%10th90th$102$0.2$1.0$5.0$20.0$100.0$500.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $107.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $21.38 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $9.55
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $28.18
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $8.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $125.89 / $239.88