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Utah rates for HCPCS 30915

Ligation arteries; ethmoidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.44 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.44 / $656.44 / $1,483.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.15 / $835.64 / $1,125.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $414.53 / $562.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,735.70 / $6,043.65 / $8,807.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.58 / $991.31 / $1,189.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.41 / $652.40 / $1,207.44