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Iowa rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $35.53 / $45.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $54.96 / $101.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $248.00 / $319.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.18 / $55.16 / $103.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $28.58 / $344.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.50 / $64.05 / $101.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $75.09 / $101.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $25.93 / $43.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $75.00 / $75.00