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Utah rates for HCPCS 43887

Gstr Rstcv Px Opn Rmvl Subq Port Component Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.83 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.62 / $419.83 / $952.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $441.26 / $624.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $254.51 / $324.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.37 / $531.26 / $674.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.99 / $380.80 / $628.30