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Utah rates for HCPCS 0576T

Interrogation Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $57.01 / $64.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.15 / $93.02 / $111.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.21 / $72.58 / $104.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $67.18 / $74.68
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
$42.56 / $55.86 / $78.94