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Minnesota rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.58 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $12.30 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $1.10 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.57 / $5.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.12 / $2.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.43 / $0.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.43