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Massachusetts 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
$12.12 / $12.12 / $12.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $12.26 / $17.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $97.23 / $97.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $17.30 / $145.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $16.17
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $17.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $41.67 / $41.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $97.23 / $97.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $13.67 / $145.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $39.09 / $41.67