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Texas 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
$246.40 / $363.12 / $402.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.30 / $338.07 / $423.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.50 / $14.50
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 / $2,315.16 / $2,399.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.79 / $3,555.54 / $3,699.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.13 / $504.95 / $850.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.10 / $595.10 / $595.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $507.21 / $852.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.03 / $280.99 / $505.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.82 / $312.82 / $437.95