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Minnesota rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $66.98 / $333.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $56.49 / $58.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.06 / $187.25 / $434.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.55 / $78.92 / $86.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.76 / $171.61 / $409.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $72.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $54.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $71.06 / $71.06