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Utah rates for HCPCS 61705

Arysm Vasc Malfrmj/Crtd-Occlusion Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,714.76 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,165.46 / $3,714.76 / $5,979.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.22 / $3,607.93 / $4,896.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.30 / $1,609.49 / $2,419.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,374.85 / $6,796.85 / $7,781.88
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
$2,484.57 / $2,778.83 / $5,420.89