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Utah rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.68 / $20.68 / $20.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $20.68 / $21.41
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
$19.98 / $22.21 / $27.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $22.74 / $39.69