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Minnesota rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $115.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $545.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $130.26 / $317.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.52 / $963.89 / $1,354.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.09 / $406.22 / $430.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.85 / $883.34 / $1,220.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.70 / $338.70 / $372.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.26 / $130.26 / $287.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $130.26 / $332.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $201.49