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Minnesota rates for HCPCS Q4225

Amniobind, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,470.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2,189.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.58 / $1,329.61 / $1,370.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.98 / $4,320.28 / $6,072.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.00 / $1,837.44 / $2,148.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,959.27 / $5,472.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.40 / $1,692.08 / $1,692.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $3,021.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $3,144.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $2,646.49