go back

Massachusetts rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.14 / $5.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.91 / $24.91 / $24.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79