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Oklahoma 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 / $5.18 / $8.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.70 / $13.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.41 / $67.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.70 / $9.90