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Utah rates for HCPCS 0573T

Rmvl Substernal Implantable Defibrillator Eltrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.10 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.72 / $354.10 / $354.10
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
$5,696.55 / $7,445.82 / $10,850.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.31 / $442.33 / $520.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.28 / $406.40 / $731.52