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Utah rates for HCPCS 0639T

Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $104.71 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $138.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $100.00 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $123.03