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Utah rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.26 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.37 / $1,211.26 / $4,491.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.18 / $1,178.25 / $2,434.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $537.02 / $853.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.72 / $1,369.21 / $2,079.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.34 / $909.83 / $1,463.83