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Louisiana rates for HCPCS A4750

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $6.46 / $7.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $6.59 / $6.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.76 / $8.55