go back

Arizona rates for HCPCS A4719

Y Set Tubing For Peritoneal Dialysis (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.04 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.00 / $4.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45