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Alaska rates for HCPCS A4774

Ammonia test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $9.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $9.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00