go back

Massachusetts 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
$5.72 / $5.72 / $5.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $5.78 / $8.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $90.00 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $10.51 / $69.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $7.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.45 / $69.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.45 / $13.18