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Missouri rates for HCPCS A4709

Acid concentrate, solution, for hemodialysis, per gallon

Facilitymedian $5 · 10th–90th $5–$120%50%10th90th$5Professionalmedian $5 · 10th–90th $5–$200%50%90th$5$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.25 / $11.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59