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Utah rates for HCPCS 0689T

Quan Us Tiss Charac I&R W/O Dx Us Same Anat

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.43 / $126.62 / $357.81
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
$133.81 / $172.29 / $251.08