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Vermont rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $32.36 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $43.65 / $97.72