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Ohio rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.38 / $49.38 / $49.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $41.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.32 / $6.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.43 / $1,426.43 / $1,426.43
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.43 / $1,426.43 / $1,426.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00