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Utah rates for HCPCS 0264T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.00 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $172.46
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
$6,690.52 / $8,774.59 / $12,787.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.94 / $197.20 / $218.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.90 / $173.96 / $309.61