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Missouri 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 / $3.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $30.00 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.22 / $8.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74