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Maine 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
$254.18 / $315.94 / $338.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.73 / $686.57 / $860.13
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.18 / $315.94 / $338.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.20 / $282.95 / $601.89