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Minnesota rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $42.29 / $95.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $32.22 / $33.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.91 / $95.39 / $134.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $40.20 / $43.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $87.41 / $120.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $34.58 / $36.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $74.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $77.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $61.49