go back

Arizona rates for HCPCS E1699

Replace Components For Hemodialysis And/Or Peritoneal Dialysis M

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $4.72 / $4.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $72.00 / $83.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.69 / $38.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $75.70 / $75.70