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Utah rates for HCPCS 0577T

Electrophysiologic Eval Icds W/Ss Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.16 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.16 / $185.16 / $201.31
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
$1,837.00 / $2,290.58 / $3,288.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.11 / $254.31 / $272.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $216.00 / $325.83