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Virginia rates for HCPCS A4774

Ammonia test strips, for dialysis, per 50

Facilitymedian $4 · 10th–90th $3–$110%50%10th90th$4Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.55 / $7.24
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80