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Pennsylvania rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $28.52
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $17.76 / $17.76
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $28.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.43 / $1,426.43 / $1,426.43