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Utah rates for HCPCS A4929

Tourniquet for dialysis, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.38 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.22 / $0.36