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Utah rates for HCPCS 36261

Revision of implanted intra-arterial infusion pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,071.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,760.83 / $14,125.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $977.24 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $851.14