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Minnesota rates for HCPCS A4737

Injectable anesthetic, for dialysis, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83