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Utah rates for HCPCS A4320

Irrigation Tray With Bulb Or Piston Syringe Any Purpose (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.80 / $13.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.64 / $5.76 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.95 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.17 / $4.53