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Utah rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.45 / $18.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $30.00 / $55.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $19.29 / $19.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $11.48 / $20.57