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Iowa 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
$236.30 / $352.07 / $455.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $544.52 / $1,004.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.72 / $186.49 / $240.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.65 / $546.62 / $1,032.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.35 / $283.23 / $3,418.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.21 / $634.64 / $1,004.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.79 / $744.03 / $1,004.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.10 / $595.10 / $595.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $256.89 / $428.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.91 / $748.00 / $748.00