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Utah rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.65 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.49 / $2,283.65 / $5,007.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.58 / $2,414.30 / $3,557.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.98 / $1,146.76 / $1,638.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.75 / $2,872.74 / $3,755.20
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
$1,531.86 / $2,085.26 / $3,356.76