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Utah rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,937.70 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.45 / $1,937.70 / $3,139.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.86 / $1,914.07 / $2,569.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.08 / $952.38 / $1,308.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.90 / $3,530.33 / $4,041.96
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
$1,293.27 / $1,812.73 / $2,821.68