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Utah rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Facilitymedian $8 · 10th–90th $8–$80%50%100%$8Professionalmedian $17 · 10th–90th $9–$350%10%10th90th$17$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $19.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $25.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $20.42