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Utah rates for HCPCS A4265

Paraffin Per Pound (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.86 / $13.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $1.94 / $1.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.22 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.33 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.02 / $2.88