go back

South Carolina 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
$204.17 / $331.13 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $436.52 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $416.87