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Utah rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.09 / $372.56 / $488.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $71.09 / $71.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.53 / $69.45 / $217.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.80 / $94.80 / $94.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $90.85 / $319.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $83.64 / $98.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $47.40