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Utah rates for HCPCS A4246

Betadine Or Phisohex Solution Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.22 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.30 / $2.16