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Utah rates for HCPCS 22904

Rad Resection Tumor Soft Tissue Abdl Wall <5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.56 / $3,294.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.58 / $1,483.56 / $2,134.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.98 / $1,452.18 / $1,961.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $750.93 / $1,007.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.73 / $5,387.63 / $7,851.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.90 / $2,273.66 / $2,603.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.49 / $1,213.59 / $2,198.17