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Minnesota rates for HCPCS Q4116

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

Facilitymedian $47 · 10th–90th $31–$14,7910%20%10th90th$47Professionalmedian $102 · 10th–90th $25–$1260%20%10th90th$102$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $15,488.17 / $52,480.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $107.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $93.33 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $37.15 / $40.74
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $93.33 / $120.23
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $125.89 / $239.88