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Utah rates for HCPCS 0569T

Ttvr Percutaneous Approach Initial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.91 / $4,387.00 / $16,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.22 / $1,849.91 / $1,849.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,746.82 / $18,042.95 / $30,211.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.43 / $2,310.90 / $2,718.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.33 / $1,915.64 / $3,821.77