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Arizona rates for HCPCS A4708

Acetate concentrate solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $65.28 / $65.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $48.00 / $55.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $9.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $16.20