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Minnesota rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $330.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $556.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.40 / $308.45 / $318.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.90 / $1,047.28 / $1,472.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.45 / $348.33 / $423.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.15 / $959.76 / $1,326.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.66 / $278.66 / $378.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $700.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $729.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $627.33