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Utah rates for HCPCS 33617

Rpr Complex Cardiac Anomaly Modified Fontan Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,280.76 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,280.76 / $3,280.76 / $11,766.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.13 / $3,025.36 / $3,987.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.93 / $1,413.72 / $2,044.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,775.83 / $4,103.59 / $4,827.75
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
$2,147.96 / $2,261.01 / $3,780.30