go back

Arizona rates for HCPCS A4721

Dialysat sol fld vol > 999cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $13.60 / $13.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.00 / $9.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $34.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22