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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $21.74 / $44.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22