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Minnesota rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.08 / $2,246.86 / $2,907.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $1,013.76 / $1,097.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,119.67 / $3,019.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $864.00 / $921.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $2,400.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,160.00 / $3,160.00 / $3,160.00