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Ohio rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.09 / $1.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00