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Ohio rates for HCPCS A4719

"Y set" tubing for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
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 / $7.58 / $11.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.75 / $8.77 / $10.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $7.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $16.44 / $460.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $16.44 / $460.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.25 / $10.91