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Utah rates for HCPCS A7502

Replacement Diaphragm/Faceplate For Tracheostoma Valve Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $19.09 / $19.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $37.18 / $201.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $37.70 / $38.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $32.04 / $49.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.64 / $50.92 / $63.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $48.83 / $73.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $29.58 / $42.42