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Utah rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.31 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.34 / $2,365.31 / $5,185.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.50 / $2,500.81 / $3,683.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.98 / $1,176.73 / $1,726.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.11 / $4,797.53 / $7,773.73
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
$1,624.96 / $2,057.60 / $3,478.19