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Minnesota rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $1,584.89 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.37 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.71 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $229.09