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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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $51.29 / $85.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $36.31 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $31.62