go back

Minnesota rates for HCPCS Q4227

AmnioCore, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,207.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.00 / $1,165.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.19 / $1,107.11 / $1,165.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.94 / $2,919.91 / $4,104.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.98 / $1,230.57 / $1,344.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.20 / $2,675.92 / $3,698.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.40 / $1,058.40 / $1,128.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.14 / $221.14 / $2,097.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.39 / $1,165.39 / $2,673.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $2,313.16