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Kansas rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $27.37 / $47.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.38 / $46.72 / $46.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $46.26 / $46.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.85 / $38.15 / $59.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.58 / $344.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $27.41 / $49.00