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Utah rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.81 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.36 / $2,297.81 / $11,197.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.30 / $2,640.00 / $4,596.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.86 / $1,478.10 / $1,923.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.17 / $3,047.35 / $4,440.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,310.65 / $2,941.68 / $4,919.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.69 / $2,081.17 / $3,179.54