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Utah rates for HCPCS 33916

Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,677.35 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $5,888.44 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $12,589.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $9,120.11 / $9,772.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $9,549.93 / $13,489.63
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,606.93 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $8,912.51