go back

Georgia rates for HCPCS A4890

Contracts, Repair and Maintenance, for Home Dialysis Equipment (Non-Co

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.94 / $254.94 / $254.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $254.94 / $254.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $25.00 / $31.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.00 / $923.00 / $923.00