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Arizona rates for HCPCS A4706

Bicarbonate concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $67.61 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $9.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89