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Utah rates for HCPCS 36261

Revj Implanted Intra-Arterial Infusion Pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.01 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.01 / $570.01 / $1,232.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.17 / $580.79 / $671.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $309.80 / $414.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,696.55 / $7,445.82 / $10,850.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.63 / $676.71 / $796.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.60 / $423.00 / $845.99