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Utah rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Facilitymedian $20 · 10th–90th $20$200%50%100%$20Professionalmedian $35 · 10th–90th $20$470%10%10th90th$35$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$47.86