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Utah rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,760.83 / $14,125.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $724.44