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Minnesota rates for HCPCS Q4175

MiroDerm Bio Matrix Fenestrat EX SHEE 2X2CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $94.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $101.49 / $2,777.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.18 / $64.33 / $67.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.21 / $184.15 / $258.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $78.31 / $88.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $168.76 / $233.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.86 / $69.86 / $73.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $67.72 / $160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $155.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $165.94