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Pennsylvania 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
$24.97 / $24.97 / $24.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $24.97 / $36.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $22.20 / $26.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $17.76 / $17.76
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $24.97 / $36.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65