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Utah rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.03 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.03 / $1,954.03 / $3,722.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.32 / $1,777.18 / $2,044.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.62 / $817.13 / $1,121.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.94 / $2,404.78 / $2,829.15
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
$1,209.77 / $1,468.40 / $2,639.51