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Ohio rates for HCPCS A4771

Serum clotting time tube, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.16 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42