go back

Minnesota rates for HCPCS A4755

Blood tubing, arterial and venous combined, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.02 / $3.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.94 / $60.26