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Minnesota rates for HCPCS A4652

Microcapillary tube sealant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78