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Minnesota rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $149.40 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $229.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.40 / $148.41 / $153.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $180.00 / $180.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $412.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $401.95