go back

Utah rates for HCPCS 0717T

Adrc Ther Prtl Thickness Rc Tear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $5,743.00 / $8,659.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.00 / $2,843.00 / $7,511.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $80.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,990.66 / $6,904.89 / $9,912.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00