go back

Maryland rates for HCPCS A4690

Dialyzer (Artificial Kidneys) All Types All Sizes For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.67 / $346.17 / $440.93
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 / $359.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.46 / $524.51 / $791.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.39 / $319.23 / $583.38