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Oregon 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
Professional
Modifier
Low / Median / High Price
$203.59 / $346.17 / $426.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.02 / $928.58 / $1,211.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.31 / $559.80 / $1,059.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.56 / $918.56 / $918.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.40 / $864.09 / $876.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.56 / $581.39 / $1,148.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.67 / $971.19 / $1,210.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $283.23 / $472.05