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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
$26.92 / $26.92 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $33.11 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15