go back

Minnesota rates for HCPCS Q4180

Revita Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $675.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2,126.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.65 / $1,035.57 / $1,090.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.03 / $716.74 / $1,007.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $1,112.56 / $1,332.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.40 / $656.84 / $907.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.13 / $1,049.58 / $1,049.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.07 / $1,090.07 / $2,099.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.07 / $1,090.07 / $2,500.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $1,189.41