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Arizona 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
$203.59 / $297.52 / $452.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.35 / $225.00 / $225.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.76 / $165.44 / $192.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.51 / $412.51 / $808.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $283.23 / $3,418.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $283.23 / $505.80