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Utah rates for HCPCS 80168

Ethosuximide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $40.74 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.45 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $19.05 / $31.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $35.48 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.80 / $14.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.22 / $51.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $14.45 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $21.38