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Utah rates for HCPCS A4320

Irrigation tray with bulb or piston syringe, any purpose

Facilitymedian $2 · 10th–90th $2–$20%50%100%$2Professionalmedian $5 · 10th–90th $2–$130%10%10th90th$5$2.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.31 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.01 / $5.37
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.08 / $7.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.16 / $4.79