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Minnesota rates for HCPCS Q4151

Amnioband Or Guardian Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $145.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $137.19 / $318.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $132.88 / $137.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $393.54 / $553.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.44 / $165.85 / $176.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.20 / $360.66 / $498.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $139.05 / $152.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $137.19 / $302.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $137.19 / $314.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $244.53