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Utah rates for HCPCS A4322

Irrigation Syringe Bulb Or Piston Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.27 / $5.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.05 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.61 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.81 / $2.71