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North Carolina 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $103.04 / $113.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $10.84 / $10.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $22.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $11.67 / $15.00