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Virginia 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
$23.99 / $23.99 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.30 / $42.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,073.80 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $4,073.80 / $4,073.80