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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $30.00 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.52 / $13.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.20 / $16.20