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Virginia 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 / $15.01 / $30.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $9.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00