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Minnesota rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $2,458.73 / $2,525.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $69.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $113.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.06 / $64.33 / $66.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $8.27 / $11.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $68.73 / $82.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.58 / $10.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $64.84 / $66.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $66.31 / $146.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $66.31 / $152.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $121.95