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New York 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
$297.52 / $300.85 / $300.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.95 / $326.37 / $448.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $375.81 / $542.29
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
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.50 / $382.50 / $382.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.65 / $487.65 / $487.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.16 / $323.62 / $622.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.50 / $382.50 / $382.50