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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
$20.54 / $27.37 / $45.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $30.11 / $68.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.58 / $344.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.82 / $51.04