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Virginia rates for HCPCS A4772

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $13.48 / $17.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.83 / $27.83 / $46.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
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
$16.87 / $20.44 / $32.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $17.32 / $26.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $28.45 / $41.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $20.26 / $35.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $20.26 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $12.96 / $26.55