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New Jersey rates for HCPCS A4706

Bicarbonate concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.00 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70