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Utah rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.27 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.27 / $1,000.27 / $1,926.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.49 / $913.53 / $1,059.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.35 / $546.78 / $783.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.75 / $1,239.85 / $1,458.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.74 / $686.11 / $1,352.15