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Utah rates for HCPCS A4259

Lancets Per Box Of 100 (Special Coverage Instructions Apply. See Cim: 60-11)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $3.38 / $4.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.33 / $12.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $6.98