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Oklahoma 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
$203.59 / $271.17 / $455.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.19 / $298.29 / $680.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $283.23 / $3,418.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $245.91 / $505.80