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Minnesota rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,690.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $53.29 / $1,989.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.74 / $1,558.88 / $1,640.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.01 / $4,595.99 / $6,460.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.52 / $410.30 / $1,640.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,192.82 / $4,211.93 / $5,821.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.24 / $328.24 / $446.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $3,616.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $3,764.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $2,974.68