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Utah rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.89 / $4,312.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $597.50 / $1,231.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.74 / $891.51 / $1,311.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $80.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,949.27 / $25,828.11 / $37,638.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.15 / $1,135.52 / $1,420.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.37 / $613.97 / $1,127.33