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Utah rates for HCPCS 43496

Free Jejunum Trsf W/Microvasc Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,217.50 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.65 / $3,217.50 / $4,185.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.04 / $2,932.33 / $4,379.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $1,296.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,736.23 / $3,258.58 / $3,880.35
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
$1,880.06 / $2,421.29 / $4,002.72