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Arkansas rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $1,000,000.00 / $1,000,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $24.55 / $46.77