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Utah rates for HCPCS 38204

Management of recipient hematopoietic progenitor cell donor search and cell acquisition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $1,000.00 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $102.33 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $190.55 / $295.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $208.93