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Minnesota rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,554.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,542.24 / $3,492.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.79 / $1,495.97 / $1,542.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,422.53 / $4,451.77 / $6,257.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.76 / $1,876.15 / $1,933.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.55 / $4,079.77 / $5,638.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.54 / $1,522.54 / $1,721.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.31 / $1,542.24 / $3,398.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $3,537.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,770.64