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New Hampshire rates for HCPCS A4690

Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.14 / $323.04 / $420.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $349.73 / $686.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.75 / $295.13 / $591.25