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Minnesota rates for HCPCS A4890

Contracts, Repair and Maintenance, for Home Dialysis Equipment (Non-Co

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.94 / $254.94 / $254.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $254.94 / $622.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.65 / $254.94 / $430.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $15.64 / $15.64