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Massachusetts rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $44.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $52.48 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $67.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $52.48 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $67.61