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Utah rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.50 / $17,331.30 / $22,722.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,307.50 / $3,307.50 / $3,307.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.21 / $3,230.73 / $10,125.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.00 / $4,410.00 / $4,410.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $4,226.25 / $4,410.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $4,228.32 / $5,492.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $1,543.50 / $2,205.00