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Arizona rates for HCPCS A4755

Blood tubing, arterial and venous combined, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $6.80 / $6.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.00 / $4.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $12.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00