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Utah rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $158.22 / $671.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.92 / $158.22 / $170.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.13 / $180.75 / $240.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $199.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.31 / $248.40 / $306.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.11 / $154.11 / $251.94