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Ohio rates for HCPCS A4755

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.85 / $13.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.65 / $11.51
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 / $12.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $10.84 / $12.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70