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Utah rates for HCPCS 0677T

Laps Repos Lead Perm Isdss 1st Repositioned Lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,744.00 / $3,592.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.00 / $2,843.00 / $4,387.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $4,912.00 / $15,824.00