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New Jersey 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
Facility
Modifier
Low / Median / High Price
$382.31 / $382.31 / $382.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $300.85 / $420.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.37 / $427.49 / $449.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.70 / $320.62 / $608.07