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Minnesota rates for HCPCS Q4183

Surgigraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $83.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $127.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $82.45 / $85.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $160.91 / $369.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $160.91 / $291.72