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Utah rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $755.69 / $1,510.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $1,133.01 / $1,580.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.72 / $1,305.67 / $1,616.62
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
$585.88 / $860.51 / $1,438.98