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Maryland rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.69 / $34.93 / $44.50
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 / $36.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $52.93 / $79.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $32.22 / $57.89