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Utah rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.37 / $3,064.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.84 / $998.37 / $2,221.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.66 / $1,024.36 / $1,401.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $541.52 / $730.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.02 / $1,220.00 / $1,551.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.71 / $887.25 / $1,432.19