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Missouri rates for HCPCS A4719

"Y set" tubing for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.12 / $8.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.34 / $8.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45