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Minnesota rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $38.22 / $3,138.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $37.07 / $38.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.74 / $138.91 / $234.77