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Montana rates for HCPCS A4760

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.97 / $36.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $26.40 / $38.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00