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Utah rates for HCPCS A4338

Indwelling Catheter; Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $11.11 / $49.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $10.29 / $10.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.29 / $19.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $12.56 / $16.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $12.00 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.27 / $8.53