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Utah rates for HCPCS 35905

Excision Infected Graft Thorax

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,710.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,710.63 / $2,710.63 / $4,944.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.14 / $2,510.71 / $2,877.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $1,090.99 / $1,586.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.51 / $3,408.18 / $4,009.62
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
$1,698.18 / $2,075.21 / $3,705.12