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Minnesota rates for HCPCS A4721

Dialysat sol fld vol > 999cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $11.81 / $11.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $11.46 / $11.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $33.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22