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Utah rates for HCPCS A5102

Bedside drainage bottle with or without tubing, rigid or expandable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $25.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $18.95 / $36.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.87 / $23.10 / $31.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.54 / $22.07 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.37 / $15.70