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Nevada rates for HCPCS A4765

Dialysate concentrate, powder, additive for peritoneal dialysis, per packet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.45 / $5.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.45 / $285.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $159.00 / $159.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $400.00 / $493.00