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Minnesota rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $92.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $110.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.93 / $78.29 / $82.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.53 / $190.25 / $267.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.89 / $80.92 / $92.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.95 / $174.36 / $240.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $73.16 / $76.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $82.41 / $181.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $82.41 / $189.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $162.69