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Louisiana rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

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
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 / $11.30 / $11.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $24.58 / $24.58