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Minnesota rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $56.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $60.71 / $100.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $47.38 / $48.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.76 / $137.38 / $193.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.29 / $58.43 / $67.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.40 / $125.91 / $174.02
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $52.76 / $53.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.91 / $48.85 / $107.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $112.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $95.63