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Minnesota rates for HCPCS A4760

Dialysate solution test kit, for peritoneal dialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $24.97 / $24.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.97 / $36.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.97 / $42.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90