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Arizona rates for HCPCS A4673

Extension line with easy lock connectors, used with dialysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $5.00 / $5.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.68 / $4.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $8.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11