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Utah rates for HCPCS 33240

Insertion of implantable defibrillator pulse generator only; with existing single lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $6,025.60 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $2,089.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $44,668.36 / $97,723.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $831.76 / $1,148.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $74,131.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $758.58