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Ohio 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
$43.23 / $43.23 / $43.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.97 / $36.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.16 / $3.27
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00