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Alaska rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.94 / $254.94 / $254.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.94 / $254.94 / $739.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.94 / $254.94 / $739.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $1,800,000.00 / $2,400,000.00