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Utah rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.93 / $8.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.41 / $9.38