go back

Utah rates for HCPCS 36903

Intro Cath Dialysis Circuit W/Tcat Plmt Iv Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.10 / $5,743.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.37 / $3,216.00 / $7,735.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.87 / $6,067.42 / $8,154.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.94 / $3,370.69 / $4,467.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,616.70 / $20,988.87 / $30,397.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.34 / $920.90 / $12,231.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,828.88 / $5,365.21 / $10,535.76