search again

Nationwide rates for HCPCS A4714

Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.00 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138,038.43 / $151,356.12 / $151,356.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.14 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $117.49 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $42.66 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $61.66