go back

Utah rates for HCPCS 39541

Rpr Diphrg Hrna Oth/Thn Neonatal Traumtc Chrnc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.34 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.34 / $962.34 / $1,499.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.00 / $1,326.23 / $2,020.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $701.14 / $923.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.20 / $1,698.60 / $2,189.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.89 / $1,088.58 / $1,967.76