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Utah rates for HCPCS 36483

Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $239.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $190.55 / $426.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $229.09