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Utah rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.48 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.75 / $1,551.48 / $3,418.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.22 / $1,647.55 / $3,391.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $788.65 / $1,136.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.27 / $1,905.34 / $2,615.87
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
$1,048.90 / $1,339.65 / $2,267.10