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Utah rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $5.94 / $31.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.47 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.42 / $6.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.57 / $6.89