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Hawaii 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 / $252.41 / $363.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.42 / $543.42 / $543.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $630.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $283.23 / $864.79