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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
$3.20 / $3.20 / $3.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $31.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $10.80 / $10.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $6.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00