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Minnesota rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $109.65 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $107.15 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $199.53 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $85.11 / $93.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $208.93 / $257.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $181.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $1,659.59