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Wisconsin rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $28.18 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.55 / $5.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $28.84 / $39.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $28.84 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26