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Washington rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Facilitymedian $79 · 10th–90th $50$1170%10%10th90th$79Professionalmedian $36 · 10th–90th $23$830%10%10th90th$36$20.0$50.0$100.0$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
$37.15
Median
$37.15
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$42.66
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$89.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$47.86