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Utah rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.96 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,009.96 / $3,009.96 / $5,560.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.04 / $2,807.95 / $3,192.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $1,323.66 / $1,816.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.55 / $4,140.32 / $4,870.97
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
$1,813.35 / $2,413.62 / $3,956.39