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Alaska rates for HCPCS A4690

Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.14 / $420.06 / $487.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.52 / $487.57 / $1,413.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.91 / $434.91 / $621.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.40 / $1,635.00 / $2,485.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.52 / $487.57 / $1,413.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $1,386.48 / $2,550.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $316.64 / $1,123.81