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Utah rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.63 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.61 / $4.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.46 / $5.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.09 / $2.34