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Utah rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.06 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.06 / $2,231.06 / $4,343.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.31 / $2,057.19 / $2,709.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $975.70 / $1,386.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.42 / $2,767.44 / $3,278.85
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
$1,229.03 / $1,529.48 / $3,051.37