go back

Kentucky rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $24.21 / $24.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $27.04 / $40.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $23.00 / $41.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $46.06 / $52.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.07 / $46.81 / $84.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $79.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $40.72