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Utah rates for HCPCS 74742

Transcervical Cathj Fallopian Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $95.90 / $361.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $93.87 / $114.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.76 / $116.32 / $169.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $38.81 / $127.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $154.63 / $184.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.76 / $169.97 / $280.45