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North Carolina 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
$420.06 / $420.06 / $420.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.91 / $338.07 / $420.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.78 / $400.87 / $572.82
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.07 / $441.06 / $662.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.00 / $562.00 / $604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $263.32 / $384.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.52 / $2,399.56 / $2,399.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,555.54 / $3,555.54 / $3,699.98