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Utah rates for HCPCS A4351

Intermittent Urinary Catheter; Straight Tip With Or Without 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
$0.69 / $0.69 / $0.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.64 / $6.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.52 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.57 / $2.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.51 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.07 / $1.26