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Texas rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Facilitymedian $50 · 10th–90th $27$930%5%10%10th90th$50Professionalmedian $33 · 10th–90th $20$440%10%20%10th90th$33$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$43.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$89.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$239.88
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$87.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$51.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77