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Minnesota rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $933.25 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $186.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $691.83 / $794.33