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Utah rates for HCPCS 49421

Insertion of tunneled intraperitoneal catheter for dialysis, open

Facilitymedian $363 · 10th–90th $363–$4,5710%50%90th$363Professionalmedian $324 · 10th–90th $209–$4570%20%10th90th$324$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $6,165.95