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Utah rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Facilitymedian $17 · 10th–90th $17–$170%50%100%$17Professionalmedian $251 · 10th–90th $17–$2570%50%10th90th$251$20.0$50.0$100.0$200.0$500.0

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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $251.19 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $60.26