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Utah rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.98 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.58 / $2,171.98 / $4,214.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.21 / $1,989.51 / $2,623.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $949.16 / $1,354.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,827.20 / $2,692.49 / $3,190.84
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
$1,358.61 / $1,640.92 / $2,964.24