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Virginia 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 / $7.00 / $9.39
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
$16.44 / $16.44 / $16.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $10.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00