go back

Minnesota rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $218.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $151.36 / $173.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $457.09 / $575.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $371.54