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Minnesota rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $77.62 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $102.33 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $138.04 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $70.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $144.54 / $177.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $177.83