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Utah rates for HCPCS 47701

Portoeneterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.10 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.57 / $2,320.10 / $4,988.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.15 / $2,404.52 / $3,540.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.98 / $1,130.58 / $1,638.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.52 / $2,863.58 / $3,743.26
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
$1,559.05 / $1,918.79 / $3,067.13