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Utah rates for HCPCS A4500

Surgical Stockings Below Knee Length Each (Not Covered By Medicare. See Cim: 60-9 And Mcm: 2133 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.27 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $22.42 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.76 / $6.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.17 / $3.61