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Washington, DC rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $52.48 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $60.26