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Utah rates for HCPCS 0123U

Mechanical fragility, RBC, shear stress and spectral analysis profiling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $25.70 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $269.15 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $316.23 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $426.58 / $1,659.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $1,023.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $288.40