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Utah rates for HCPCS A4657

Syringe With Or Without Needle Each (Updated 01-01-2003) 270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $48.51 / $4,187.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00