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Montana rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Facilitymedian $30 · 10th–90th $14$720%20%40%10th90th$30Professionalmedian $28 · 10th–90th $11$410%50%10th90th$28$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $28.18 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $30.20 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11