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Minnesota rates for HCPCS A4929

Tourniquet for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.01 / $2.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.95 / $2.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.39 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.37