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Utah rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $19.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $27.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.44 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $19.95