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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
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.77 / $13.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.76 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.23 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.96 / $2.63