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Minnesota rates for HCPCS A4706

Bicarbonate concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $10.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $21.11 / $21.11