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Utah rates for HCPCS 76975

Gi Endoscopic Us S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.60 / $180.60 / $956.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.60 / $199.24 / $296.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.74 / $310.27 / $982.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $132.22 / $179.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $129.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.22 / $480.81 / $688.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.24 / $180.09 / $281.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.72 / $275.73 / $454.95