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Utah rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Facilitymedian $5 · 10th–90th $5–$50%50%100%$5Professionalmedian $10 · 10th–90th $5–$130%20%10th90th$10$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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.23 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.76 / $12.02