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Illinois rates for HCPCS A4860

Disposable Catheter Tips For Peritoneal Dialysis Per 10 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $20.79 / $27.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.08 / $10.48
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00