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Minnesota rates for HCPCS Q4163

Woundex Bioskin Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $187.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $56.12 / $273.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.74 / $173.07 / $182.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.41 / $506.10 / $711.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.48 / $213.29 / $235.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.60 / $463.81 / $641.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.63 / $185.63 / $195.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $401.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $417.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $330.26