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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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $95.50 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $107.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $194.98 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $83.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $204.17 / $251.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $144.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $141.25 / $204.17