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Ohio rates for HCPCS A4708

Acetate concentrate solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.39 / $10.39
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
$27.00 / $32.40 / $49.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $11.70 / $11.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $11.70 / $11.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00