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Minnesota rates for HCPCS A4765

Dialysate Conc Pow Per Pack

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $285.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $9.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $6.06 / $6.06