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Utah rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $204.17 / $281.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $316.23
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
$125.89 / $151.36 / $251.19