go back

Utah 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
$203.59 / $203.59 / $203.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.59 / $257.82 / $452.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $359.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $1,265.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.11 / $476.11 / $476.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $283.23 / $478.96