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Minnesota rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.13 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $12.02 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $66.07 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.70 / $28.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $67.61 / $141.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $38.02 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.59 / $23.99