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Utah rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Facilitymedian $5 · 10th–90th $5–$50%50%100%$5Professionalmedian $8 · 10th–90th $5–$110%10%20%10th90th$8$5.0$10.0$20.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.08 / $12.30