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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
$8.00 / $8.00 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.00 / $3.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.91 / $3.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $13.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $60.19