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Utah rates for HCPCS 80164

Valproic acid (dipropylacetic acid); total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $70.79 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.02 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.85 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $42.66 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $12.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.49 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.02 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.94 / $18.62