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Minnesota rates for HCPCS Q4176

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $190.00 / $190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $157.69 / $190.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $234.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $151.38 / $156.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.24 / $327.54 / $460.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $139.30 / $150.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.30 / $300.17 / $414.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.73 / $118.73 / $126.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.92 / $65.92 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $384.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $303.66