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Ohio rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.04 / $40.04 / $40.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $30.19 / $41.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $24.52 / $39.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.57 / $50.57 / $52.52
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $26.15 / $40.21