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Utah rates for HCPCS 0686T

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.00 / $4,312.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,922.10 / $3,680.84 / $3,917.48
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
$24,850.71 / $34,826.00 / $50,751.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,064.87 / $4,758.87 / $4,782.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,013.29 / $4,262.89 / $6,969.17