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Utah rates for HCPCS 33853

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,849.62 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.87 / $2,849.62 / $5,424.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.30 / $2,655.35 / $3,383.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.43 / $1,200.82 / $1,748.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.78 / $3,469.33 / $4,110.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.32 / $2,136.41 / $3,818.88