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Virginia rates for HCPCS A4755

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

Facilitymedian $8 · 10th–90th $8$130%50%10th90th$8Professionalmedian $8 · 10th–90th $5$80%50%10th$8$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $7.24
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $104.71
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.13 / $13.49
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80