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Minnesota rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $136.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $191.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.85 / $122.28 / $126.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.22 / $364.27 / $512.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.15 / $138.69 / $166.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.05 / $333.83 / $461.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $130.84 / $136.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $126.06 / $278.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $126.06 / $289.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $224.42