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Arizona rates for HCPCS A4766

Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $35.00
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
$3.80 / $35.00 / $52.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74