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Oklahoma 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $21.11 / $21.11