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Minnesota rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,202.26 / $1,479.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,659.59