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Pennsylvania 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
$12.06 / $12.06 / $12.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $12.06 / $15.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $20.35 / $20.35
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $12.70 / $16.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $24.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $32.45 / $32.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $11.65 / $24.19