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Montana rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Facilitymedian $14 · 10th–90th $6–$170%20%40%10th90th$14Professionalmedian $6 · 10th–90th $3–$100%20%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.45
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $10.47 / $17.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.18 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.37 / $5.37