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Utah rates for HCPCS 43648

Laps Revision/Rmvl 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 / $574.80 / $1,153.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.02 / $822.66 / $1,207.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,573.09 / $19,517.43 / $28,442.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.55 / $1,006.83 / $1,259.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.38 / $647.11 / $1,029.18