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Alaska rates for HCPCS A4706

Bicarbonate concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $17.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $17.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $1,800,000.00 / $2,400,000.00