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Minnesota rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,867.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $119.37 / $292.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.99 / $503.50 / $530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.44 / $270.95 / $380.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $115.24 / $119.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.94 / $248.31 / $343.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $94.39 / $104.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $1,168.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.31 / $530.00 / $960.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $5,047.52