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Georgia rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.88 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.84 / $51.29