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Utah rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,804.37 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.79 / $3,631.17 / $8,289.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.71 / $3,964.94 / $6,064.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $1,896.84 / $2,740.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,782.32 / $4,548.54 / $6,330.69
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
$2,480.11 / $3,458.39 / $5,223.22