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Massachusetts 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
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $446.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $512.86 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $398.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $660.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $512.86 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $660.69