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Minnesota rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $363.08 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $724.44 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $275.42 / $316.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $758.58 / $933.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $302.00