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Utah rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.40 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.40 / $2,232.40 / $3,867.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.86 / $1,885.73 / $2,121.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.62 / $885.00 / $1,227.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.76 / $2,557.71 / $3,009.08
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
$1,106.07 / $1,527.96 / $2,746.09