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New York rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.36 / $30.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $32.94 / $45.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $38.00 / $54.73
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
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $38.64 / $38.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $34.01 / $66.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $38.64 / $38.64