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Utah rates for HCPCS 33755

Shunt Ascending Aorta Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,959.32 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.32 / $1,959.32 / $3,903.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.30 / $1,851.82 / $2,436.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $959.42 / $1,295.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.13 / $2,301.67 / $2,987.39
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
$1,256.31 / $1,424.43 / $2,741.04