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Arizona rates for HCPCS A4765

Dialysate Conc Pow Per Pack

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $285.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $10.88 / $10.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.00 / $9.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $285.00 / $342.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $6.06 / $6.06