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Utah rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $28.52 / $41.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00