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Montana rates for HCPCS A4707

Bicarbonate concentrate, powder, for hemodialysis, per packet

Facilitymedian $5 · 10th–90th $2–$130%50%10th90th$5Professionalmedian $5 · 10th–90th $1–$50%50%10th$5$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $5.01 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $66,069.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $5.13 / $10.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $79.43