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Virginia 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
$234.47 / $332.60 / $420.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $275.91 / $410.71
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.32 / $504.33 / $791.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.33 / $429.91 / $662.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.00 / $702.10 / $1,028.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.45 / $500.22 / $869.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.45 / $500.22 / $869.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.21 / $326.80 / $624.66