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Utah rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Facilitymedian $8 · 10th–90th $8–$80%50%100%$8Professionalmedian $4 · 10th–90th $4–$110%50%90th$4$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $0.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $60.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.76