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Idaho rates for HCPCS A4755

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.16 / $10.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00