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Utah rates for HCPCS 0415T

Repos Cardiac Modulj Sys Transvenous Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.23 / $3,977.00 / $16,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.31 / $321.23 / $321.23
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
$894.19 / $1,191.10 / $1,735.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.74 / $373.04 / $484.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.42 / $389.61 / $701.27