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California rates for HCPCS A4760

Dialysate solution test kit, for peritoneal dialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.63 / $36.63 / $36.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $24.97 / $36.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116,039.99 / $116,039.99 / $525,159.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $22.32 / $38.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.77 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $70.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $24.97 / $49.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00