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North Dakota rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.68 / $41.68 / $41.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $30.54 / $41.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $50.75 / $63.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.92 / $53.38 / $78.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.69 / $28.58 / $344.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $24.07 / $48.08