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Utah rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,387.00 / $4,657.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,082.27 / $4,657.02 / $7,616.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.16 / $4,496.22 / $7,363.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.83 / $2,008.72 / $3,020.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,512.86 / $8,048.28 / $9,758.23
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
$3,147.21 / $3,764.01 / $6,866.65