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Utah rates for HCPCS 51700

Bldr Irrigation Smpl Lavage &/Instlj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.11 / $502.91 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $89.37 / $172.31
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.39 / $34.69 / $59.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $90.04 / $140.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.55 / $85.61 / $110.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.48 / $484.37 / $682.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $100.09 / $173.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.62 / $87.72 / $154.97