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Utah rates for HCPCS 43400

Ligation Direct Esophageal Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.70 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.48 / $2,039.70 / $4,364.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.92 / $2,094.77 / $3,049.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.97 / $989.66 / $1,474.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.89 / $2,485.36 / $3,227.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.71 / $1,822.70 / $3,197.52