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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.31 / $13.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89