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Utah rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,017.43 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.46 / $3,017.43 / $5,763.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.91 / $2,823.38 / $3,590.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $1,269.50 / $1,848.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.76 / $3,706.81 / $4,391.38
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
$1,864.83 / $2,213.51 / $4,068.71