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Minnesota rates for HCPCS A4690

Dialyzer (Artificial Kidneys) All Types All Sizes For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.62 / $302.62 / $302.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.51 / $302.62 / $403.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.20 / $1,340.54 / $3,804.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.50 / $531.26 / $630.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.84 / $1,255.28 / $2,995.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.50 / $496.50 / $566.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.62 / $542.09 / $932.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $283.23 / $1,690.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $260.98 / $494.66