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Minnesota rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,570.88 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,862.09 / $2,137.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,786.30 / $5,888.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,318.26 / $1,584.89