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Utah rates for HCPCS A4305

Disposable Drug Delivery System Flow Rate Of 50 Ml Or Greater Per Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.29 / $12.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $25.44 / $27.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.46 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.63 / $8.22