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Nebraska 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $7.50 / $9.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $84.10