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Utah rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.95 / $3,977.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.34 / $807.95 / $1,339.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.65 / $1,067.83 / $1,395.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $516.88 / $812.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.29 / $984.12 / $1,509.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.99 / $914.41 / $1,401.41