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Maine rates for HCPCS A4707

Bicarbonate concentrate, powder, for hemodialysis, per packet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $5.01 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $15.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $5.25