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Kansas rates for HCPCS A4755

Blood Tubing Arterial And Venous Combined For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.07 / $14.81 / $14.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $14.66 / $14.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $10.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00