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Idaho rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $37.40 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $50.85 / $78.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.05 / $48.05 / $48.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $28.36 / $28.58