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Utah rates for HCPCS 80176

Lidocaine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $100.00 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.88 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.98 / $28.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $53.70 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.59 / $13.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $14.79 / $46.77
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.71 / $20.42