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Vermont 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
$299.14 / $313.47 / $389.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $630.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $359.63 / $630.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $470.82 / $1,020.99