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Utah rates for HCPCS A4216

Sterile Water Saline And/Or Dextrose Diluent/ Flush 10 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.31 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.46 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.38