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Minnesota rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $28.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $26.31 / $43.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $27.31 / $27.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.63 / $85.40 / $103.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.08 / $28.42 / $34.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.81 / $77.94 / $97.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $51.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.31 / $27.31 / $37.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $47.92