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Utah rates for HCPCS 0114U

Gi Barretts Esophagus Vim&Ccna1 Mthyltn Alys Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.21 / $9,139.66 / $11,982.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.21 / $1,744.21 / $1,744.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.52 / $1,703.73 / $5,339.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.61 / $2,325.61 / $2,325.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.01 / $2,228.71 / $2,325.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.54 / $2,006.85 / $2,687.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.96 / $813.96 / $1,162.81