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Connecticut rates for HCPCS A4724

Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc, but less than or equal to 4999 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $18.41 / $18.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.50 / $30.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00