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Minnesota rates for HCPCS A4774

Ammonia test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94