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Tennessee 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
$208.95 / $313.79 / $427.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.52 / $840.52 / $2,399.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.79 / $3,555.54 / $3,699.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.16 / $252.33 / $337.33