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Oklahoma rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $30.20 / $70.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.84 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $51.29