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Minnesota rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.65 / $13.65 / $13.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $13.65 / $20.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $23.00 / $58.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $11.64 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.82 / $62.07 / $143.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $26.16 / $28.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.06 / $56.89 / $135.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $24.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $36.19 / $61.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.77 / $54.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.77 / $28.39