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Minnesota rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,130.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4,238.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $2,109.54 / $2,220.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.27 / $494.83 / $695.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.16 / $210.45 / $227.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.15 / $453.48 / $626.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.36 / $179.36 / $191.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $4,893.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $5,093.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $3,834.94