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Minnesota rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $68.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $96.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.08 / $64.36 / $66.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.28 / $186.12 / $261.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.62 / $69.92 / $83.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.95 / $170.56 / $235.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $65.95 / $68.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $66.34 / $146.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $66.34 / $152.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $138.86