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Utah rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,191.62 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $3,191.62 / $7,763.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.24 / $2,956.21 / $3,781.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $1,462.23 / $1,987.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.92 / $3,987.35 / $4,691.00
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
$1,964.48 / $2,398.81 / $4,286.14