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Minnesota rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $6.88 / $6.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.88 / $9.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $11.14 / $17.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $10.25 / $10.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $33.11 / $76.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $13.95 / $15.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $30.34 / $72.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $12.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.72 / $10.79 / $15.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.11 / $19.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $5.11 / $15.71