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Florida rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $31.67 / $31.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $33.15 / $45.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $33.00 / $61.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $27.91 / $34.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50