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Missouri rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $36.90 / $36.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $30.03 / $45.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $39.40 / $60.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.02 / $45.03 / $90.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $28.55 / $344.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $27.34 / $49.00