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Utah rates for HCPCS A0394

ALS specialized service disposable supplies; IV drug therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $26.30