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Utah rates for HCPCS 30210

Displacement Therapy Proetz Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $166.07 / $248.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.86 / $168.76 / $249.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $114.12 / $148.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.85 / $204.02 / $268.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.91 / $183.80 / $305.27