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Minnesota rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $942.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $731.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.13 / $633.08 / $652.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.44 / $1,579.34 / $2,219.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.31 / $539.55 / $640.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.30 / $1,447.37 / $2,000.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.26 / $504.26 / $574.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $652.66 / $1,647.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.66 / $652.66 / $1,497.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,696.58