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Alabama rates for HCPCS A4726

Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $46.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.00 / $2,250.00 / $2,250.00