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Minnesota rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $897.50 / $897.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $744.93 / $897.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $939.26 / $1,767.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.00 / $906.95 / $935.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.79 / $2,280.15 / $3,204.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.77 / $960.94 / $1,049.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.00 / $2,089.61 / $2,888.12
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.50 / $826.50 / $881.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.59 / $919.55 / $919.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,621.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,703.37