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Vermont 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
$5.72 / $5.97 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $11.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $11.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $9.09 / $19.52