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Utah rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.74 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.72 / $1.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.02 / $1.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.05 / $1.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.40 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.71