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Minnesota rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.01 / $4.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $13.45 / $31.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $5.67 / $6.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $12.33 / $29.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $5.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $7.73 / $9.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.81 / $12.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.81 / $5.74