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California rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $17.60 / $17.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $254.94 / $254.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116,039.99 / $116,039.99 / $525,159.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $25.00 / $31.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.24 / $223.16 / $381.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $15.08 / $15.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.77 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $15.64 / $15.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $254.94 / $293.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00