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Maryland 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
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $31.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $9.24 / $16.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $12.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00