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Pennsylvania rates for HCPCS E1610

Reverse osmosis water purification system, for hemodialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.80 / $261.80 / $261.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.80 / $261.80 / $4,923.67
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,563.17 / $4,735.35 / $4,735.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.79 / $360.79 / $360.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.80 / $261.80 / $4,923.67
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.79 / $360.79 / $360.79