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Oregon rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $6.62 / $8.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $17.75 / $23.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $10.90 / $20.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $16.52 / $16.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $11.19 / $21.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $18.57 / $23.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.41 / $8.47