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Virginia rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $33.56 / $42.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.50 / $50.26
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.01 / $50.90 / $79.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $43.06 / $67.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $70.84 / $103.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.54 / $50.47 / $87.74
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.54 / $50.47 / $87.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $34.04 / $63.36