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Alaska rates for HCPCS A4714

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.90 / $97.72