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Minnesota rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $690.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1,288.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.22 / $696.25 / $717.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.97 / $2,420.12 / $3,401.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.27 / $776.91 / $930.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.65 / $2,217.89 / $3,065.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.94 / $732.94 / $766.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.78 / $717.78 / $1,581.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.78 / $717.78 / $1,646.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $1,309.17