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Utah rates for HCPCS 63043

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Ea Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.31 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.85 / $608.96 / $1,444.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.51 / $826.59 / $1,129.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $287.45 / $1,603.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.26 / $1,122.38 / $1,648.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.11 / $320.89 / $496.57