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Hawaii rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.82 / $6.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.39 / $10.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $11.91
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $23.56 / $23.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $5.14 / $15.48