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Minnesota rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,028.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3,444.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.64 / $1,735.86 / $1,789.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.02 / $2,296.02 / $2,296.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.40 / $1,935.40 / $1,935.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $3,943.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $4,105.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $3,571.02