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Louisiana rates for HCPCS A4690

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.30 / $286.30 / $286.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $338.07 / $403.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.63 / $344.79 / $355.22
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 / $526.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $248.96 / $445.21