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Minnesota rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $125.89 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $512.86 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $660.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $371.54