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Utah rates for HCPCS A5200

Percutaneous catheter/tube anchoring device, adhesive skin attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.00 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $11.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.48 / $15.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.22 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $16.22
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.22 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.03 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.76 / $9.55