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Utah rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $3,977.00 / $13,531.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.45 / $1,109.30 / $13,531.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.70 / $751.45 / $1,084.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.62 / $653.10 / $1,305.29