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Montana rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.19 / $8.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $68,099.99 / $68,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.15 / $13.15 / $13.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $13.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $11.07 / $15.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $13.15 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $5.41 / $5.41