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Utah rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Facilitymedian $4 · 10th–90th $4–$40%50%100%$4Professionalmedian $7 · 10th–90th $4–$90%10%20%10th90th$7$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $26.92
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.62 / $8.71