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Utah rates for HCPCS 77333

Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

Facilitymedian $46 · 10th–90th $46$460%50%$46Professionalmedian $76 · 10th–90th $20$2340%5%10%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $138.04 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $81.28 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $87.10 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $57.54 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.30 / $24.55 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.11 / $100.00
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $190.55 / $223.87
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $67.61 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $138.04 / $162.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $257.04
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $74.13 / $89.13
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $154.88 / $177.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $131.83 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $51.29 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $74.13 / $138.04