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Indiana 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
$234.20 / $323.04 / $413.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $410.71 / $553.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.58 / $468.11 / $546.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.09 / $447.63 / $565.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.65 / $487.65 / $487.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $505.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $259.73 / $497.74