go back

Oklahoma 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 / $5.00 / $5.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47