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Minnesota rates for HCPCS A4709

Acid conc sol per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $8.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $10.80 / $37.38