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Utah rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.97 / $4.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.34 / $1.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.28 / $1.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.77 / $0.77