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Minnesota rates for HCPCS Q4147

Architect Architect Px Or Architect Fx Extracellular Matrix Per Square Centimeter (Revised 11/12/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $57.13 / $57.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $47.42 / $57.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2,008.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $1,271.81 / $1,338.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $413.82 / $581.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.50 / $174.40 / $190.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $379.24 / $524.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $160.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $147.22 / $147.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.62 / $1,576.28 / $2,857.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $105.92