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Utah rates for HCPCS 33503

Rpr Anom Coronary Artery Pulm Art Origin Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.12 / $3,038.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.12 / $2,027.12 / $3,931.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.89 / $1,875.68 / $2,456.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $986.25 / $1,333.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.49 / $2,498.71 / $2,939.67
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
$1,264.88 / $1,544.40 / $2,843.91