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Utah rates for HCPCS A4561

Pessary Reusable Rubber Any Type (Desc Rsvd 4/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $8.23 / $8.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $27.22 / $65.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $33.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $21.08 / $27.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $20.21 / $30.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $12.74 / $20.90