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Wisconsin rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $11.48 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.00 / $17.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.76 / $9.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.76 / $16.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.37 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.62 / $27.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $18.20 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.13 / $9.77