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Utah rates for HCPCS 0109U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $672.66 / $881.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.37 / $128.37 / $128.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.91 / $125.39 / $393.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.16 / $171.16 / $171.16
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
$142.63 / $164.02 / $259.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $148.65 / $178.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $59.90 / $85.58