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Utah rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.76 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $154.76 / $704.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $198.34 / $300.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.41 / $113.41 / $153.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.23 / $200.31 / $264.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.05 / $150.96 / $277.19