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Utah rates for HCPCS A4436

Irrigation Supply; Sleeve Reusable Per Month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.26 / $4.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $15.94 / $15.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.96 / $19.94