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Utah rates for HCPCS 33915

Pulmonary Artery Embolectomy W/O Card Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.48 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.48 / $2,076.48 / $4,083.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.73 / $1,919.63 / $2,522.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $903.02 / $1,306.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.40 / $2,453.69 / $2,886.71
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
$1,316.04 / $1,476.80 / $2,871.35