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Arkansas 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $1,000,000.00 / $1,000,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $46.77