go back

Nebraska rates for HCPCS A4707

Bicarbonate concentrate, powder, for hemodialysis, per packet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $5.14 / $5.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.71 / $9.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10