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Minnesota rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $576.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $382.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.86 / $188.99 / $194.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.41 / $1,537.03 / $2,160.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.13 / $315.75 / $553.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.85 / $1,408.59 / $1,946.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $252.60 / $343.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $194.83 / $997.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $446.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,270.68