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Virginia rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
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
$25.00 / $31.12 / $41.78
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $503.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.94 / $254.94 / $430.85
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $4,071.00