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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
$131.90 / $131.90 / $131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $142.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $133.66 / $272.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.29 / $142.86 / $148.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.16 / $424.79 / $597.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $170.20 / $179.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.30 / $389.29 / $538.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.16 / $136.16 / $164.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $142.86 / $315.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.86 / $142.86 / $327.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $260.20