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Utah rates for HCPCS A4461

Surgical dressing holder, nonreusable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.95 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.80 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.31 / $3.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.57 / $4.68
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.68 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.95 / $2.82