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Minnesota rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $83.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $936.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.03 / $77.64 / $80.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.97 / $1,754.91 / $2,466.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.38 / $101.95 / $123.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.29 / $1,608.26 / $2,222.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $81.56 / $110.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $176.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $183.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $624.34