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Utah rates for HCPCS 36901

Intro Cath Dialysis Circuit Dx Angrph Fluor S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.61 / $2,628.00 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.09 / $511.08 / $969.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.16 / $459.62 / $1,425.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.04 / $569.10 / $734.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.29 / $3,036.60 / $4,425.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.92 / $465.22 / $1,275.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.29 / $712.05 / $1,420.56