go back

Utah rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.61 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.75 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.71 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.71