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Utah rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $5,743.00 / $16,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $4,387.00 / $12,567.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,834.02 / $12,032.05 / $20,146.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00