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Utah rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $19.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.82 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.05 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.60 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.85 / $2.23