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Virginia rates for HCPCS A4720

Dialysat sol fld vol > 249cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.75 / $20.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $32.46
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