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Minnesota rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,959.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3,442.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.80 / $1,977.35 / $2,038.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.01 / $6,927.97 / $9,737.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,418.21 / $2,919.72 / $3,040.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,348.30 / $6,349.05 / $8,775.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.26 / $2,394.26 / $2,678.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.50 / $2,038.50 / $4,492.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.50 / $2,038.50 / $4,676.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $3,449.07