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Kansas rates for HCPCS A4709

Acid concentrate, solution, for hemodialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.85 / $3.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47