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California rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $12.19 / $17.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.94 / $71.94 / $325.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $27.83 / $382.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $32.45 / $32.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $283.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $93.80 / $97.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.58 / $145.16 / $149.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.40 / $70.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $24.34 / $37.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $49.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $11.48 / $25.10