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Utah rates for HCPCS 0103U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,272.38 / $5,282.44 / $6,912.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.90 / $1,050.90 / $5,282.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.64 / $1,533.13 / $4,805.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.73 / $2,092.73 / $2,092.73
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
$1,743.95 / $2,005.54 / $2,092.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.92 / $1,805.89 / $2,418.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $469.55 / $1,046.36