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Iowa rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $102.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $51.29 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $32.36 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $102.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.70 / $43.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $75.86 / $75.86