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Minnesota rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.31 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $19.20 / $142.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $14.40 / $19.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.09 / $38.28 / $88.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $26.24 / $31.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $35.08 / $83.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.03 / $24.75 / $24.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $6.00 / $7.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.17 / $9.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.17 / $4.88