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Arizona rates for HCPCS A4709

Acid concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $65.81 / $65.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.35 / $48.40 / $56.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $8.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47