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Minnesota rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $17.78 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.75 / $6.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.98 / $33.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.82 / $4.07