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Minnesota rates for HCPCS Q4128

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

Facilitymedian $62 · 10th–90th $25–$1000%20%10th90th$62Professionalmedian $102 · 10th–90th $22–$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
$28.84 / $28.84 / $43,651.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $61.66 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $107.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $91.20 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $31.62
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $100.00
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $125.89 / $239.88