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Minnesota rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $109.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $102.18 / $218.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $100.72 / $113.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.56 / $302.39 / $425.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.14 / $127.44 / $132.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.15 / $277.13 / $383.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $104.10 / $116.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $100.72 / $221.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $231.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $188.59