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New York rates for HCPCS A4721

Dialysat sol fld vol > 999cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
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
$0.02 / $9.38 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $28.33 / $28.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $3.18 / $3.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $28.33 / $28.33
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $3.18 / $3.18