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Utah rates for HCPCS 37242

Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $7,943.28 / $31,622.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $9,549.93 / $12,882.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $34,673.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $19,498.45 / $44,668.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,698.24 / $23,442.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $6,165.95 / $22,387.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $10,471.29 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $6,309.57 / $10,964.78