go back

Missouri 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 / $3.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.64 / $7.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00