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Missouri rates for HCPCS A4913

Miscellaneous Dialysis Supplies Not Otherwise Specified (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $66.68 / $106.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.69 / $17.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.05 / $334.05 / $334.05