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Indiana rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $41.69 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $50.12