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Missouri 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
$365.72 / $365.72 / $365.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $297.52 / $448.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $397.40 / $599.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.86 / $446.25 / $897.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.88 / $282.87 / $3,418.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $270.94 / $470.87