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Minnesota rates for HCPCS A4690

Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $630.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $3,162.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $512.86 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $588.84