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Minnesota rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $58.12 / $2,777.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $29.78 / $30.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.67 / $85.76 / $120.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $31.17 / $36.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $78.59 / $108.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $24.94 / $33.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $30.70 / $67.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $70.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $54.22