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Utah rates for HCPCS 35190

Repair, acquired or traumatic arteriovenous fistula; extremities

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,388.44 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $9,332.54 / $21,877.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93