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Nevada 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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.00 / $46.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $64.15
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $400.00 / $493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $35.08 / $61.70