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North Carolina rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $42.39 / $42.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $34.11 / $42.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $40.45 / $57.80
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $44.39 / $66.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $61.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.57 / $39.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.83 / $242.16 / $242.16
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.32 / $358.32 / $373.43