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Utah rates for HCPCS 0572T

Insj Substernal Implantable Defibrillator Eltrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.96 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.65 / $465.96 / $465.96
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
$13,113.27 / $16,351.11 / $23,474.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.82 / $582.08 / $684.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.21 / $588.27 / $962.64