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Pennsylvania rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $5.69 / $7.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.80 / $9.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $5.75 / $7.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $16.00 / $16.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.41 / $11.53